Evaluation of Noninvasive Respiratory Volume Monitoring in the PACU of a Low Resource Kenyan Hospital
Authors
Burdick, KendallThuo, Muchai Stephen
Feng, Xiaoke Sarah
Shotwell, Matthew S.
Schlesinger, Joseph J.
UMass Chan Affiliations
School of MedicineDocument Type
Journal ArticlePublication Date
2020-09-01Keywords
Respiratory volume monitorpost-anesthesia care unit
opioid-induced respiratory depression
respiratory monitoring
respiratory physiology
proactive care
Anesthesia and Analgesia
Anesthesiology
Health Services Administration
Health Services Research
International Public Health
Metadata
Show full item recordAbstract
This research aims to evaluate the use of the noninvasive respiratory volume monitor (RVM) compared to the standard of care (SOC) in the Post-Anesthesia Care Unit (PACU) of Kijabe Hospital, Kenya. The RVM provides real-time measurements for quantitative monitoring of non-intubated patients. Our evaluation was focused on the incidence of postoperative opioid-induced respiratory depression (OIRD). The RVM cohort (N = 50) received quantitative OIRD assessment via the RVM, which included respiratory rate, minute ventilation, and tidal volume. The SOC cohort (N = 46) received qualitative OIRD assessment via patient monitoring with oxygenation measurements (SpO2) and physical examination. All diagnosed cases of OIRD were in the RVM cohort (9/50). In the RVM cohort, participants stayed longer in the PACU and required more frequent airway maneuvers and supplemental oxygen, compared to SOC (all p < 0.05). The SOC cohort may have had fewer diagnoses of OIRD due to the challenging task of distinguishing hypoventilation versus OIRD in the absence of quantitative data. To account for the higher OIRD risk with general anesthesia (GA), a subgroup analysis was performed for only participants who underwent GA, which showed similar results. The use of RVM for respiratory monitoring of OIRD may allow for more proactive care.Source
Burdick KJ, Thuo MS, Feng XS, Shotwell MS, Schlesinger JJ. Evaluation of Noninvasive Respiratory Volume Monitoring in the PACU of a Low Resource Kenyan Hospital. J Epidemiol Glob Health. 2020 Sep;10(3):236-243. doi: 10.2991/jegh.k.200203.001. PMID: 32954715; PMCID: PMC7509096. Link to article on publisher's site
DOI
10.2991/jegh.k.200203.001Permanent Link to this Item
http://hdl.handle.net/20.500.14038/41576PubMed ID
32954715Related Resources
Rights
© 2020 The Authors. Published by Atlantis Press International B.V. This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).Distribution License
http://creativecommons.org/licenses/by-nc/4.0/ae974a485f413a2113503eed53cd6c53
10.2991/jegh.k.200203.001
Scopus Count
Except where otherwise noted, this item's license is described as © 2020 The Authors. Published by Atlantis Press International B.V. This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).
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