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Patient safety is the number one goal for clinicians on the General Floor who are treating patients with opioid therapies such as patient controlled analgesia (PCA) and other continuous narcotic therapies.
Since these therapies may have an adverse effect on a patient’s breathing, it is critical to monitor a patient’s adequacy of ventilation to avoid a potential respiratory crisis.
* a clinically insignificant alarm is defined as a respiration rate alarm lasting continuously for less than 30 seconds or less than 45 seconds over a period of 60 seconds when compared to the previous respiration rate algorithm
1 Infusing Patients Safely, Bryanne M. Patail, BS, MLS, FACCE. AAMI/FDA Infusion Device Summit, page 12. October 5, 2010.
2 Joint Commission Accreditation Program: Hospital Chapter: Provision of Care, Treatment, and Services, 2008; The Administration of Moderate or Deep Sedation or Anesthesia.
3 ASA: Practice Guidelines for the Prevention, Detection, and Management of Respiratory Depression Associated with Neuraxial Opioid Administration; Anesthesiology 2009; 110:1–1.
4 Capnographic Monitoring of Respiratory Activity Improves Safety of Sedation for Endoscopic Cholangiopancreatography and Ultrasonography. Qadeer, Vargo et al. Gastroenterology; 136: 1568-1576.
5 Capnography is superior to pulse oximetry for the detection of respiratory depression during colonoscopy. Cacho G et al. Revista Espanola De Enfermedades Digestivas. February2010; 02(2), 86-89.