Life-threatening critical respiratory events: A retrospective study of postoperative patients found unresponsive during analgesic therapy

Journal of Clinical Anesthesia

Volumn 23, Issue 3, 2011, Pages 207-213

  Ramachandran, Satya Krishna ^a   Haider, Naeem ^a   Saran, Kelly A ^a   Mathis, Michael ^b   Kim, Joyce ^b   Morris, Michelle ^a   O'Reilly, Michael ^a  

^a UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

^b UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

Author keywords

Analgesics; Critical respiratory events; Opioid based pain therapy: Complications; Postoperative period; Renal failure

Indexed keywords

ACETYLSALICYLIC ACID PLUS OXYCODONE PLUS OXYCODONE TEREPHTHALATE; CODEINE; DEXTROPROPOXYPHENE; FENTANYL; FENTANYL CITRATE; HYDROCODONE BITARTRATE PLUS PARACETAMOL; HYDROMORPHONE; METHADONE; MORPHINE; MORPHINE SULFATE; NALOXONE; OPIATE; OXYCODONE; OXYCODONE PLUS PARACETAMOL; PARACETAMOL; PERCOCET; PETHIDINE; TYLOX;

ACUTE KIDNEY FAILURE; ADULT; AGED; ANALGESIA; ARTICLE; CLINICAL ARTICLE; COHORT ANALYSIS; COMORBIDITY; CONGESTIVE HEART FAILURE; CONTROLLED STUDY; CORONARY ARTERY DISEASE; DATA BASE; DIABETES MELLITUS; DISEASE ASSOCIATION; ELECTRONIC MEDICAL RECORD; ENDOTRACHEAL INTUBATION; FEMALE; HEART ARRHYTHMIA; HUMAN; HYPERTENSION; LIFE THREATENING CRITICAL RESPIRATORY EVENT; MALE; OBSERVATIONAL STUDY; OPERATION DURATION; OUTCOME ASSESSMENT; PATIENT MONITORING; PEDIATRICS; POSTOPERATIVE PAIN; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; RESPIRATION DEPRESSION; RESPIRATORY TRACT DISEASE; RESUSCITATION; RETROSPECTIVE STUDY; RISK MANAGEMENT; SEDATION; SLEEP APNEA SYNDROME; TREATMENT FAILURE;

ACUTE DISEASE; ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; ANALGESICS, OPIOID; FEMALE; HUMANS; MALE; MIDDLE AGED; PAIN, POSTOPERATIVE; RESPIRATORY INSUFFICIENCY; RETROSPECTIVE STUDIES; SLEEP APNEA, OBSTRUCTIVE;

EID: 79956047797     PISSN: 09528180     EISSN: 18734529     Source Type: Journal    
DOI: 10.1016/j.jclinane.2010.09.003     Document Type: Article

References (21)

1. Cashman JN, Dolin SJ. Respiratory and haemodynamic effects of acute postoperative pain management: evidence from published data. Br J Anaesth 2004;93:212-23. (Pubitemid 39117396)
2. 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;105:412-8. (Pubitemid 47196421)
3. Vila H Jr, Smith RA, Augustyniak MJ, et al. The efficacy and safety of pain management before and after implementation of hospital-wide pain management standards: is patient safety compromised by treatment based solely on numerical pain ratings? Anesth Analg 2005;101:474-80.
4. White PF, Kehlet H. Improving pain management: are we jumping from the frying pan into the fire? Anesth Analg 2007;105:10-2.
5. Kheterpal S, Han R, Tremper KK, et al. Incidence and predictors of difficult and impossible mask ventilation. Anesthesiology 2006;105: 885-91. (Pubitemid 44655497)
6. Kheterpal S, Tremper KK, Englesbe MJ, et al. Predictors of postoperative acute renal failure after noncardiac surgery in patients with previously normal renal function. Anesthesiology 2007;107: 892-902. (Pubitemid 350175671)
7. Fleiss J. Statistical methods for Rates and Proportions. 2nd ed. New York: John Wiley and Sons; 1981. Section 5.6.
8. Press WH. Numerical recipes. Cambridge UK: Cambridge University Press; 1992. Section 15.6.
9. Taylor S, Kirton OC, Staff I, Kozol RA. Postoperative day one: a high risk period for respiratory events. Am J Surg 2005;190:752-6. (Pubitemid 41446500)
10. Fu ES, Downs JB, Schweiger JW, Miguel RV, Smith RA. Supplemental oxygen impairs detection of hypoventilation by pulse oximetry. Chest 2004;126:1552-8. (Pubitemid 39525030)
11. Brown KA, Laferrière A, Lakheeram I, Moss IR. Recurrent hypoxemia in children is associated with increased analgesic sensitivity to opiates. Anesthesiology 2006;105:665-9. (Pubitemid 44477310)
12. Peppard PE, Young T, Palta M, Skatrud J. Prospective study of the association between sleep-disordered breathing and hypertension.NEngl J Med 2000;342:1378-84.
13. Mehra R, Benjamin EJ, Shahar E, et al; Sleep Heart Health Study. Association of nocturnal arrhythmias with sleep-disordered breathing: The Sleep Heart Health Study. Am J Respir Crit Care Med 2006;173: 910-6.
14. Sorajja D, Gami AS, Somers VK, Behrenbeck TR, Garcia-Touchard A, Lopez-Jimenez F. Independent association between obstructive sleep apnea and subclinical coronary artery disease. Chest 2008;133: 927-33. (Pubitemid 351536868)
15. Sin DD, Fitzgerald F, Parker JD, Newton G, Floras JS, Bradley TD. Risk factors for central and obstructive sleep apnea in 450 men and women with congestive heart failure. Am J Respir Crit Care Med 1999;160:1101-6. (Pubitemid 29487445)
16. Punjabi NM, Shahar E, Redline S, et al; Sleep Heart Health Study Investigators. Sleep-disordered breathing, glucose intolerance, and insulin resistance: the Sleep Heart Health Study. Am J Epidemiol 2004;160:521-30. (Pubitemid 39215628)
17. Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993;328:1230-5. (Pubitemid 23115702)
18. Rosenberg J, Pedersen MH, Ramsing T, Kehlet H. Circadian variation in unexpected postoperative death. Br J Surg 1992;79:1300-2. (Pubitemid 23008385)
19. Gami AS, Howard DE, Olson EJ, Somers VK. Day-night pattern of sudden death in obstructive sleep apnea. N Engl J Med 2005;352: 1206-14.
20. Concato J, Feinstein AR, Holford TR. The risk of determining risk with multivariable models. Ann Intern Med 1993;118:201-10. (Pubitemid 23034807)
21. Werner MU, Søholm L, Rotbøll-Nielsen P, Kehlet H. Does an acute pain service improve postoperative outcome? Anesth Analg 2002;95: 1361-72.