Medstar Harbor Hospital, part of the Medstar health system in Maryland and Washington, DC, has strengthened its patient safety measures with its use of capnography to monitor patients using patient-controlled analgesia (PCA) to regulate their pain after surgery.
PCA can provide an effective way to control pain by allowing patients to self-administer small doses of pain medication intravenously, but the technology poses unique risks because the medications used can also suppress the patient's breathing.
The Joint Commission, the Anesthesia Patient Safety Foundation, the Institute for Healthcare Improvement and the Institute for Safe Medication Practices all recommend that hospitals take special precautions including monitoring patients with capnography and oximetry.
Specifically, capnography measures how effectively patients are breathing by measuring exhaled carbon dioxide and can alert medical caregivers when life-threatening respiratory depression occurs.
Capnography provides the earliest indication of evolving respiratory compromise, which can lead to significant morbidity or even cardiopulmonary arrest if undetected. Oximetry monitors the patient's blood oxygen levels ensuring that the patient is receiving enough oxygen.
Long used in operating rooms to monitor patients under general anesthesia, hospitals are now deploying capnography after surgery, as well. Early indication of respiratory depression with capnography enables medical staff to intervene before serious adverse events happen.
"Medstar Harbor Hospital is committed to providing the very highest quality patient care. Our widespread use of capnography to monitor a patient's breathing is in line with the latest recommendations and underscores our dedication to patient safety," said Lenora Addison, the hospital's vice president of patient care services.
Medstar Harbor Hospital, Capnography, PCA, The Joint Commission, Anesthesia Patient Safety Foundation, Lenora Addison, US