278
Views
3
CrossRef citations to date
0
Altmetric
Original Research

Nocturnal Oxygen Desaturation Index Correlates with Respiratory Depression in Post-Surgical Patients Receiving Opioids – A Post-Hoc Analysis from the Prediction of Opioid-Induced Respiratory Depression in Patients Monitored by Capnography (PRODIGY) Study

, , ORCID Icon, ORCID Icon, , , , , , & show all
Pages 805-817 | Published online: 26 Apr 2022

References

  • Lee LA, Caplan RA, Stephens LS, et al. Postoperative opioid-induced respiratory depression: a closed claims analysis. Anesthesiology. 2015;122(3):659–665. doi:10.1097/ALN.0000000000000564
  • Driver CN, Laporta ML, Bergese SD, et al. Frequency and temporal distribution of postoperative respiratory depressive events. Anesth Analg. 2021;132(5):1206–1214. doi:10.1213/ANE.0000000000005478
  • Dahan A, Aarts L, Smith TW. Incidence, reversal, and prevention of opioid-induced respiratory depression. Anesthesiology. 2010;112(1):226–238. doi:10.1097/ALN.0b013e3181c38c25
  • Khanna AK, Bergese SD, Jungquist CR, et al. PRediction of opioid-induced respiratory depression on inpatient wards using continuous capnography and oximetry: an international prospective, observational trial. Anesth Analg. 2020;131(4):1012–1024. doi:10.1213/ANE.0000000000004788
  • Overdyk FJ, Carter R, Maddox RR, Callura J, Herrin AE, Henriquez C. Continuous oximetry/capnometry monitoring reveals frequent desaturation and bradypnea during patient-controlled analgesia. Anesth Analg. 2007;105(2):412–418. doi:10.1213/01.ane.0000269489.26048.63
  • Stites M, Surprise J, McNiel J, Northrop D, De Ruyter M. Continuous capnography reduces the incidence of opioid-induced respiratory rescue by hospital rapid resuscitation team. J Patient Saf. 2021;17(6):e557–e561. doi:10.1097/pts.0000000000000408
  • Chung F, Liao P, Elsaid H, Islam S, Shapiro CM, Sun Y. Oxygen desaturation index from nocturnal oximetry: a sensitive and specific tool to detect sleep-disordered breathing in surgical patients. Anesth Analg. 2012;114(5):993–1000. doi:10.1213/ANE.0b013e318248f4f5
  • Waseem R, Chan MTV, Wang CY, Seet E, Chung F. Predictive performance of oximetry in detecting sleep apnea in surgical patients with cardiovascular risk factors. PLoS One. 2021;16(5):e0250777. doi:10.1371/journal.pone.0250777
  • Urman RD, Khanna AK, Bergese SD, et al. Postoperative opioid administration characteristics associated with opioid-induced respiratory depression: results from the PRODIGY trial. J Clin Anesth. 2021;70:110167. doi:10.1016/j.jclinane.2021.110167
  • Khanna AK, Overdyk FJ, Greening C, Buhre WF, Buhre WF. Respiratory depression in low acuity hospital settings-seeking answers from the PRODIGY trial. J Crit Care. 2018;47:80–87. doi:10.1016/j.jcrc.2018.06.014
  • Hwang D, Shakir N, Limann B, et al. Association of sleep-disordered breathing with postoperative complications. Chest. 2008;133(5):1128–1134. doi:10.1378/chest.07-1488
  • Filson K, Atherholt C, Simoes M, et al. Post-operative vital signs: how often is too often? J Clin Oncol. 2018;36(30_suppl):210. doi:10.1200/JCO.2018.36.30_suppl.210
  • Sun Z, Sessler DI, Dalton JE, et al. Postoperative hypoxemia is common and persistent: a prospective blinded observational study. Anesth Analg. 2015;121(3):709–715. doi:10.1213/ANE.0000000000000836
  • Anderloni A, Fugazza A, Troncone E, et al. Single-stage EUS-guided choledochoduodenostomy using a lumen-apposing metal stent for malignant distal biliary obstruction. Gastrointest Endosc. 2018;87:AB347. doi:10.1016/j.gie.2018.08.047
  • Urman RD, Seger DL, Fiskio JM, et al. The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients. J Patient Saf. 2021;17(2):e76–e83. doi:10.1097/PTS.0000000000000566
  • Belcher AW, Khanna AK, Leung S, et al. Long-acting patient-controlled opioids are not associated with more postoperative hypoxemia than short-acting patient-controlled opioids after noncardiac surgery: a cohort analysis. Anesth Analg. 2016;123(6):1471–1479. doi:10.1213/ane.0000000000001534
  • Ng Y, Joosten SA, Edwards BA, et al. Oxygen desaturation index differs significantly between types of sleep software. J Clin Sleep Med. 2017;13(4):599–605. doi:10.5664/jcsm.6552
  • Chung F, Zhou L, Liao P. Parameters from preoperative overnight oximetry predict postoperative adverse events. Minerva Anestesiol. 2014;80(10):1084–1095.
  • Suen C, Ryan CM, Mubashir T, et al. Sleep study and oximetry parameters for predicting postoperative complications in patients with OSA. Chest. 2019;155(4):855–867. doi:10.1016/j.chest.2018.09.030
  • Weingarten TN, Herasevich V, McGlinch MC, et al. Predictors of delayed postoperative respiratory depression assessed from naloxone administration. Anesth Analg. 2015;121(2):422–429. doi:10.1213/ANE.0000000000000792
  • Deljou A, Hedrick SJ, Portner ER, et al. Pattern of perioperative gabapentinoid use and risk for postoperative naloxone administration. Br J Anaesth. 2018;120(4):798–806. doi:10.1016/j.bja.2017.11.113