Abstract 209: Focused Training Results in a Decrease in Inpatient Respiratory Arrests
Background: The leading cause of inpatient arrests are due to respiratory causes and in our hospital, due to apneic/hypopneic events.
Objective: To characterize patterns of apneic and hypopneic events in at risk population.
Methods: This study was performed in one urban, academic inpatient facility. Eighteen at risk postoperative patients were identified in the post-anesthesia care unit (PACU) and admitted to the intermediate care unit (IMU) with continuous pulse oximetry and capnometry. Criteria included apnea, hypopnea, bradypnea (less than 8 breaths per minute), and inability to wean of nasal cannula oxygen. Major and minor events were identified (Fig. 1).
Results: Patients who exhibited major apneic events had a significantly greater number of minor apneic events per shift relative to those who only had minor events (8.3 vs 2.5, Fig. 2). The day shift (8am-8pm) had more major apneic events (83.4% vs 16.6, Fig. 3) than the evening shift (8pm-8am). Incidentally, the training for this trial effectively reduced the number of total respiratory arrests in the hospital (Fig. 4).
- © 2013 by American Heart Association, Inc.