An Ethnographic Observational Study to Evaluate and Optimize the Use of Respiratory Acoustic Monitoring in Children Receiving Postoperative Opioid Infusions

Görges, Matthias; West, Nicholas; Christopher, Nancy A.; Koch, Jennifer; Brodie, Sonia M.; Lowlaavar, Nasim; Lauder, Gillian; Ansermino, J. Mark

doi:10.1213/ane.0000000000001127

Cited by 3 publications

(1 citation statement)

References 40 publications

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“…Previous study that the use of acoustic respiratory monitoring in children receiving opioid infusions on a postsurgical ward was evaluated and false alarm was assessed was reported [9].This report indicated that, episodes of desaturation were observed in 9 patients, but the use of acoustic respiratory monitoring did not improve the detection of respiratory depression. And this reported that acoustic monitor resulted in an unacceptably high false alarm rate.…”

Section: False Alarmmentioning

confidence: 96%

Noninvasive Acoustic Respiration Rate Monitoring

Ouchi¹

2016

SOJAPM

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A new acoustic method for Respiratory Rate Monitoring (RRa ® ) has shown good reliability when used in patients without tracheal intubation. The objective of this review is to assess the usefulness of acoustic respiratory rate monitoring. In contrast to facemask capnometry, the acoustic monitor was well tolerated; contrary, capnometry was not well tolerated, because several patients removed the facemask. In intravenous general anesthesia, the acoustic monitor is useful for continuous monitoring of respiratory rate in spontaneously breathing patients. In pediatric patients, acoustic monitor showed good agreement and similar accuracy and precision between capnometry but was better tolerated.In conclusion, the acoustic respiratory monitoring is useful for non-intubated patients.

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Section: False Alarmmentioning

confidence: 96%

Noninvasive Acoustic Respiration Rate Monitoring

Ouchi¹

2016

SOJAPM

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Acute Pain

Walker¹,

Polaner²,

Berde³

2019

A Practice of Anesthesia for Infants and Children

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Crying wolf, alarm safety and management in paediatrics: A scoping review

Cole,

Roderick,

Cheema

et al. 2024

Journal of Advanced Nursing

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AimTo provide a contemporaneous evidentiary overview of neonatal and paediatric studies investigating alarm‐related patient safety and alarm system management. Furthermore, to describe how clinical alarm burden is captured and reported, to identify clinical devices that contribute to alarm burden, to explore alarm‐related and patient safety measures and terminologies and to review alarm management initiatives.DesignScoping review.Data SourcesA systematic search of PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, Scopus and EBSCOhost was conducted from 2013 to 2023 using predetermined search terms, index terms, medical subject headings and truncation.MethodsObservational and qualitative studies with neonatal and paediatric populations reporting monitoring and alarm practices; and interventional studies reporting the success of alarm safety interventions were included. The quality of the included studies was assessed using the mixed methods appraisal tool.ResultsThe search yielded 37 studies of acceptable quality. The majority explored alarm burden associated with physiological monitoring (n = 35; 95%). Alarm definitions were reported in 46% (n = 17) of studies, and commonly included what constituted actionable and non‐actionable alarms. While 32% (n = 12) of studies considered alarms in relation to clinical outcomes surrounding patient safety, clinician response to alarms was only reported in 19% (n = 7) of studies. Alarm and monitoring interventions were assessed in 51% (n = 19) of included studies, with categorization into six domains: changing alarm parameters, clinician education, communication and planning, technology, alarm ordering and standardization or guidelines.ConclusionThis review has demonstrated the enormity of alarms in clinical settings, heterogeneity of alarm definitions and outlined interventions associated with alarm burden and patient safety.Implication for the Profession/Patient CareStrategies to ensure appropriate alarm limits are set and clinicians are empowered through education to recognize and respond appropriately to alarms can maximize patient safety.Reporting MethodThis review adheres to the preferred reporting items for systematic reviews and meta‐analysis protocols extension for scoping reviews.Patient or Public ContributionNo patient or public contribution.

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An Ethnographic Observational Study to Evaluate and Optimize the Use of Respiratory Acoustic Monitoring in Children Receiving Postoperative Opioid Infusions

Cited by 3 publications

References 40 publications

Noninvasive Acoustic Respiration Rate Monitoring

Noninvasive Acoustic Respiration Rate Monitoring

Acute Pain

Crying wolf, alarm safety and management in paediatrics: A scoping review

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