Abstract
Purpose: To enhance the role of nursing interventions in the management of perioperative opioid-induced respiratory depression (OIRD) in patients with obstructive sleep apnea (OSA). Design: Narrative review of the literature. Methods: Literature reviewed with emphasis on recommendations by professional and accrediting organizations. Findings: Postsurgical OIRD increases hospital stay (55%), cost of care (47%), 30-day readmission (36%), and inpatient mortality (3.4 fold). OSA increases the risk of OIRD and may result in legal claims averaging $2.5 million per legal claim. Conclusions: Nursing interventions are essential to improving outcome and reduce cost in the management of postsurgical OIRD in OSA patients.
Original language | English (US) |
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Pages (from-to) | 601-607 |
Number of pages | 7 |
Journal | Journal of Perianesthesia Nursing |
Volume | 33 |
Issue number | 5 |
DOIs | |
State | Published - Oct 2018 |
Keywords
- PACU
- obstructive sleep apnea
- opioid induced respiratory depression
- positive airway pressure
- sleep disordered breathing
ASJC Scopus subject areas
- Medical–Surgical