Ten Year Study Using Continuous Monitoring Devices to Eliminate Preventable Deaths
Read the most recent study from Dartmouth-Hitchcock Medical Center demonstrating how continuous patient monitoring with Masimo SET® pulse oximetry was key to achieving zero preventable deaths from opioid-induced respiratory depression.
Preventable deaths or brain damage due to opioid-induced respiratory depression in monitored patients over 10 years1
Oxygen monitoring has been shown to help reduce harm associated with opioid-induced respiratory depression (OIRD). Multiple studies over 10 years at Dartmouth-Hitchcock Medical Center have shown that after implementing continuous patient monitoring with Masimo SET® pulse oximetry and a remote clinician notification system, clinicians were able to achieve zero preventable deaths or brain damage due to opioid overdose among monitored patients in post-surgical wards.1-4
Continuous Home Monitoring for Prescription Opioid Patients
Researchers at Uintah Basin Medical Center studied continuous home monitoring technology in two independent studies of postoperative patients at high risk for opioid-induced respiratory depression (OIRD). In the first study, four patients were saved when alarms alerted home caregivers. EMS was called, naloxone was administered, and the patients received CPR. In the second study, two patients who ignored alarms and removed the monitor died at home from OIRD. Results from the first and second studies were presented as posters at Respiratory Care in 2018 and 2019, respectively.5
Postoperative Critical Events Associated with Obstructive Sleep Apnea (OSA) More Likely
A study found that death and brain damage were more likely to occur during unwitnessed events, without supplemental oxygen, without respiratory monitoring, and with the co-administration of opioids and sedatives. The researchers concluded, “It is important that efforts be directed at providing more effective monitoring for OSA patients following surgery, and clinicians consider the potentially dangerous effects of opioids and sedatives—especially when combined—when managing OSA patients postoperatively.”6
National Center for
Health Statistic’s 2020 Overdose Data
National Center for Health Statistic’s 2020 Overdose Data
The Centers for Disease Control and Prevention (CDC)’s National Center for Health Statistics released updated data showing that in 2020 the U.S. had the most drug overdose deaths on record—soaring almost 30% compared to 2019.
U.S. Department of Veterans Affairs
Opioid Safety Initiative (OSI) & OSI Toolkit
U.S. Department of Veterans Affairs Opioid Safety Initiative (OSI) & OSI Toolkit
Learn more about the VA’s OSI and review the OSI Toolkit, which was assembled by multidisciplinary pain experts to help aid clinical decisions about starting, continuing, or tapering opioid therapy.
The American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP), American College of Physicians (ACP), American College of Obstetricians and Gynecologists (ACOG), American Osteopathic Association (AOC), and American Psychiatric Association (APA) Jointly Address the Opioid Epidemic
Read the joint statement released by a multidisciplinary coalition outlining and adopting shared principles for pediatric and adolescent opioid therapy—including their affirmation that perioperative education and parental guidance are necessary to minimize risks associated with opioids.
Anesthesia Patient Safety Foundation (APSF)’s Monitoring for
Opioid-Induced Ventilatory Impairment (OIVI) Video
Anesthesia Patient Safety Foundation (APSF)’s Monitoring for Opioid-Induced Ventilatory Impairment (OIVI) Video
Watch a short video, titled “Executive Summary: Opioid-induced Ventilatory Impairment: Time for a Change in the Monitoring Strategy for Postoperative PCA Patients”, created by the OIVI to speak to anyone who care for patients receiving opioids in the postoperative period.
McGrath S et al. Inpatient Respiratory Arrest Associated With Sedative and Analgesic Medications: Impact of Continuous Monitoring on Patient Mortality and Severe Morbidity. J Patient Saf. 2020 14 Mar. DOI: 10.1097/PTS.0000000000000696.
Taenzer AH, Pyke JB, McGrath SP, Blike GT. Impact of pulse oximetry surveillance on rescue events and intensive care unit transfers: a before-and-after concurrence study Anesthesiology. 2010;112(2):282-287.
Taenzer A et al. Postoperative Monitoring – The Dartmouth Experience. Anesthesia Patient Safety Foundation Newsletter. Spring-Summer 2012.
McGrath S et al. Surveillance Monitoring Management for General Care Units: Strategy, Design, and Implementation. The Joint Commission Journal on Quality and Patient Safety. 2016 Jul;42(7):293-302.
Bennion KJ, Uresk S, Catten M. Home Monitoring of Adult and Pediatric Patients on Opioids for Pain Post-Surgery Respiratory Care. 2018;63(10): 2979779.
Bolden, Norman et al. “Postoperative Critical Events Associated With Obstructive Sleep Apnea: Results From the Society of Anesthesia and Sleep Medicine Obstructive Sleep Apnea Registry.” Anesthesia and analgesia vol. 131,4 (2020): 1032-1041. doi:10.1213/ANE.0000000000005005