Preventing Opioid-Induced Respiratory Depression in the Hospitalized Patient With Obstructive Sleep Apnea

Carla R. Jungquist*, Elizabeth Card, Jean Charchaflieh, Bhargavi Gali, Meltem Yilmaz

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

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 languageEnglish (US)
Pages (from-to)601-607
Number of pages7
JournalJournal of Perianesthesia Nursing
Volume33
Issue number5
DOIs
StatePublished - Oct 2018

Keywords

  • PACU
  • obstructive sleep apnea
  • opioid induced respiratory depression
  • positive airway pressure
  • sleep disordered breathing

ASJC Scopus subject areas

  • Medical–Surgical

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