在骨科手术后接受阿片类药物的高风险个人的家庭监测
Robert L Mazzola1, Kim J Bennion2, Megan J Hepworth2
1Drs. Mazzola and Cloward are affiliated with Department of Sleep Medicine, Intermountain Health Care Inc, Murray, Utah, USA.
在门诊手术后,对氧化 (SpO2) 的家庭监测可用于检测阿片类药物诱导的呼吸抑制 (OIRD). 这项技术可能有助于识别高风险患者并预防术后并发症.
科学领域:
- 医疗监测 医疗监测
- 呼吸系统医学 呼吸系统医学
- 整形外科手术 整形外科手术
背景情况:
- 阿片类药物诱导的呼吸抑制 (OIRD) 对术后患者构成风险.
- 目前的指导方针建议OIRD患者在住院期间进行电子监控.
- 门诊手术后家庭监测的有效性尚未评估.
研究的目的:
- 评估患者和护理人员接受OIRD骨科手术后家庭监测的情况.
- 在出院后确定OIRD的发病率和相关的发病率.
- 评估患者对OIRD风险的理解.
主要方法:
- 潜在的质量改善计划涉及359名门诊整形外科手术患者.
- 在出院后4天内,使用商业设备进行家庭心肺呼吸系统监测.
- 分析潮尾二氧化碳压力 (PETCO2),SpO2,呼吸率和心率.
主要成果:
- 70%的患者在出院后接受了补充氧气.
- 26名受试者 (7.2%) 由于低SPO2警报而访问ED.
- 14名受试者 (3.9%) 被诊断出患有临床相关的阿片类药物诱导事件;一个接受了纳洛.
结论:
- 在门诊骨科手术后检测OIRD,可以进行家庭氧化 (SpO2) 监测.
- 通过家用设备进行呼吸监测 (PETCO2) 在这个队列中显示出有限的效用.
- 家庭监测可能有助于识别患有不良术后结果风险的患者.
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