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Featured Articles: Infographic

The Argument for Monitoring: Identifying At-Risk Patients for Better Outcomes

Woo, Jacqueline; Weber, Garret MD; Nathan, Naveen MD

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doi: 10.1213/ANE.0000000000005153
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In this issue of Anesthesia & Analgesia, 3 articles highlight the importance of respiratory monitoring. The Obstructive Sleep Apnea (OSA) Death and Near Miss Registry examined OSA-related associations with death and brain damage. The PRODIGY Risk Prediction Model utilized continuous oximetry and capnography monitoring to identify 5 variables strongly associated with opioid-induced respiratory depression. Finally, investigators explored the external validity of the commonly used STOP-BANG questionnaire, as a screening tool for OSA. This infographic highlights the need to carefully identify patients at risk for respiratory depression, who should then be closely monitored. The reader is encouraged to review the cited articles for a better understanding and thorough discussion of these findings.

FOOTNOTES

    REFERENCES

    1. Bolden N, et al. Postoperative critical events associated with obstructive sleep apnea: results from the Society of Anesthesia and Sleep Medicine Obstructive Sleep Apnea Registry. Anesth Analg. 2020;131:1032–1041.
      2. 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;131:1012–1024.
        3. Seguin L, Tamisier R, Deletombe B, Lopez M, Pepin J-L, Payen J-F. Preoperative screening for obstructive sleep apnea using alternative scoring models of the sleep tiredness observed pressure-body mass index age neck circumference gender questionnaire: an external validation. Anesth Analg. 2020;131:1025–1031.
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