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Postoperative Opioids Remain a Serious Patient Safety Threat
| Content Provider | Scilit |
|---|---|
| Author | Dahan, Albert Aarts, Leon Smith, Terry |
| Copyright Year | 2010 |
| Description | Journal: Anesthesiology We thank Dr. Overdyk for his interest in our review article.1 In his letter, Dr. Overdyk addresses the issue of incidence and detection of opioid-induced respiratory depression. Although the focus of our review was on rescue, treatment (with naloxone and alternative agents), and prevention, rather than recognition, we agree with Dr. Overdyk that the incidence of opioid-induced respiratory depression may be underreported, especially in certain high-risk populations. We report from the literature an incidence of opioid-induced respiratory depression that requires direct intervention between one in 200 and one in 50 in American Society of Anesthesiologists I and II patients. These data compare with the incidence of opioid-induced respiratory depression that we encounter in our academic institution in which pain treatment is determined and closely monitored by anesthesiologists as a part of an acute pain service. We can accept that under circumstances in which pain treatment and the monitoring of patients are not closely controlled by anesthesiologists or an acute pain service, the incidence of opioid-induced respiratory depression is higher. |
| Related Links | http://anesthesiology.pubs.asahq.org/data/journals/jasa/931096/0000542-201007000-00042.pdf http://anesthesiology.pubs.asahq.org/data/Journals/JASA/931096/0000542-201007000-00042.pdf |
| Ending Page | 261 |
| Page Count | 2 |
| Starting Page | 260 |
| ISSN | 00033022 |
| e-ISSN | 15281175 |
| DOI | 10.1097/aln.0b013e3181e2d639 |
| Journal | Anesthesiology |
| Issue Number | 1 |
| Volume Number | 113 |
| Language | English |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Publisher Date | 2010-07-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Anesthesiology Anesthesiologists Incidence of Opioid Induced Respiratory Depression |
| Content Type | Text |
| Resource Type | Article |
| Subject | Anesthesiology and Pain Medicine |
