Respiratory Compromise

What is respiratory compromise?

Respiratory compromise is a decline in respiratory function that if left unaddressed will likely lead to respiratory failure or death.([FOOTNOTE=Morris TA, Gay PC, MacIntyre NR, et al. Respiratory Compromise as a New Paradigm for the Care of Vulnerable Hospitalized Patients. Respiratory care. 2017;62(4):497-512.],[ANCHOR=],[LINK=])

Identifying at-risk patients

Learn more about the Prediction of Opioid-induced Respiratory Depression in Patients Monitored by Capnography (PRODIGY) study on identifying patients at risk for respiratory compromise.

Failure of detection and prevention of respiratory compromise is associated with significant human and economic toll.([FOOTNOTE=Lee LA, Caplan RA, Stephens LS, et al. Postoperative opioid-induced respiratory depression: a closed claims analysis. Anesthesiology. 2015;122(3):659-665.],[ANCHOR=],[LINK=])

39.4%

In-hospital mortality rate of patients with acute respiratory compromise([FOOTNOTE=Andersen LW, Berg KM, Chase M, Cocchi MN, Massaro J, Donnino MW. Acute respiratory compromise on inpatient wards in the United States: Incidence, outcomes, and factors associated with in-hospital mortality. Resuscitation. 2016;105:123-129.],[ANCHOR=],[LINK=])

$26,571

Excess hospitalization costs associated with respiratory compromise([FOOTNOTE=Melamed R, Boland LL, Normington JP, et al. Postoperative respiratory failure necessitating transfer to the intensive care unit in orthopedic surgery patients: risk factors, costs, and outcomes. Perioperative medicine (London, England). 2016;5:19.],[ANCHOR=],[LINK=])

15 days

Respiratory compromise associated excess hospital days([FOOTNOTE=Fischer JP, Shang EK, Butler CE, et al. Validated model for predicting postoperative respiratory failure: analysis of 1706 abdominal wall reconstructions. Plastic and reconstructive surgery. 2013;132(5):826e-835e.],[ANCHOR=],[LINK=])

Focusing on detection and subsequent prevention is key to reducing the impact of respiratory compromise.^3,4,([FOOTNOTE=Quach JL, Downey AW, Haase M, Haase-Fielitz A, Jones D, Bellomo R. Characteristics and outcomes of patients receiving a medical emergency team review for respiratory distress or hypotension. Journal of critical care. 2008;23(3):325-331.],[ANCHOR=],[LINK=])

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10%

10% of patients suffer SpO2 < 85% episodes longer than an hour([FOOTNOTE=Sun Z, Sessler DI, Dalton JE, et al. Postoperative Hypoxemia Is Common and Persistent: A Prospective Blinded Observational Study. Anesthesia and analgesia. 2015;121(3):709-715.],[ANCHOR=],[LINK=])

90%

90% of prolonged episodes of SpO2 < 90% go unrecognized by intermittent monitoring⁹

50%

50% of patients with respiratory distress have delayed interventions⁸

97%

97% of opioid-induced respiratory depression closed claims were considered preventable with better monitoring⁴

This series of videos and educational resources provides a structured curriculum to guide you through respiratory compromise.

Through this pathway you will learn about:

Capnography basics
Applications of capnography in different care settings
Featured accredited opportunities

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Respiratory Compromise

What is respiratory compromise?

Learn More

Identifying at-risk patients

Learn More

Impact of respiratory compromise

Learn More

39.4%

$26,571

15 days

Detecting and preventing respiratory compromise

Learn More

10%

90%

50%

97%

Learning Path