Evaluation of Noninvasive Respiratory Volume Monitoring in the PACU of a Low Resource Kenyan Hospital
Thuo, Muchai Stephen
Feng, Xiaoke Sarah
Shotwell, Matthew S.
Schlesinger, Joseph J.
UMass Chan AffiliationsSchool of Medicine
Document TypeJournal Article
KeywordsRespiratory volume monitor
post-anesthesia care unit
opioid-induced respiratory depression
Anesthesia and Analgesia
Health Services Administration
Health Services Research
International Public Health
MetadataShow full item record
AbstractThis 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.
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
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/41576
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/).
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