Risk factors for impaired respiratory function during nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory: a matched case-control study


Autoria(s): Conway, Aaron; Page, Karen; Rolley, John; Fulbrook, Paul
Data(s)

01/01/2013

Resumo

<b>Background</b><br /> Side effects of the medications used for procedural sedation and analgesia in the cardiac catheterisation laboratory are known to cause impaired respiratory function. Impaired respiratory function poses considerable risk to patient safety as it can lead to inadequate oxygenation. Having knowledge about the conditions that predict impaired respiratory function prior to the procedure would enable nurses to identify at-risk patients and selectively implement intensive respiratory monitoring. This would reduce the possibility of inadequate oxygenation occurring.<br /><br /><b>Aim</b><br /> To identify pre-procedure risk factors for impaired respiratory function during nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory.<br /><br /><b>Design</b><br /> Retrospective matched case–control.<br /><br /><b>Methods</b><br /> 21 cases of impaired respiratory function were identified and matched to 113 controls from a consecutive cohort of patients over 18 years of age. Conditional logistic regression was used to identify risk factors for impaired respiratory function.<br /><br /><b>Results</b><br /> With each additional indicator of acute illness, case patients were nearly two times more likely than their controls to experience impaired respiratory function (OR 1.78; 95% CI 1.19–2.67; p = 0.005). Indicators of acute illness included emergency admission, being transferred from a critical care unit for the procedure or requiring respiratory or haemodynamic support in the lead up to the procedure.<br /><br /><b>Conclusion</b><br /> Several factors that predict the likelihood of impaired respiratory function were identified. The results from this study could be used to inform prospective studies investigating the effectiveness of interventions for impaired respiratory function during nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory.<br />

Identificador

http://hdl.handle.net/10536/DRO/DU:30059394

Idioma(s)

eng

Publicador

Sage Publications

Relação

http://dro.deakin.edu.au/eserv/DU:30059394/rolley-riskfactors-2013.pdf

http://dx.doi.org/10.1177/1474515112470351

Direitos

2013, Sage Publishing

Palavras-Chave #Conscious sedation #Cardiac electrophysiology #Artificial cardiac pacing #Heart catheterisation #Deep sedation
Tipo

Journal Article