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

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

doi:10.1016/j.jopan.2016.09.013

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

Anesthesiology

Research output: Contribution to journal › Article › peer-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 language	English (US)
Pages (from-to)	601-607
Number of pages	7
Journal	Journal of Perianesthesia Nursing
Volume	33
Issue number	5
DOIs	https://doi.org/10.1016/j.jopan.2016.09.013
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

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title = "Preventing Opioid-Induced Respiratory Depression in the Hospitalized Patient With Obstructive Sleep Apnea",

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.",

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