Evaluation of respiratory volume monitoring (RVM) to detect respiratory compromise in advance of pulse oximetry and help minimize false desaturation alarms.
BACKGROUND
Monitoring respiratory function is important. By continuously monitoring respiratory volumes, respiratory depression could be identified before hypoxemia and drive earlier intervention. Here, we evaluate the temporal relationship of respiratory volume monitoring (providing real-time minute ventilation [MV], tidal volume, and respiratory rate in nonintubated patients) to hypoxemic episodes and its potential to help classify true vs false desaturations (related to patient movement/probe dislodgement).


METHODS
Respiratory volume monitoring data, oxygen saturation (SpO2), oxygen supplementation, and opioid use were analyzed in 259 patients following orthopedic surgery. Detection of "low MV" (<40% of predicted MV) in advance of low SpO2 (<90%) was used to classify true and false desaturations. Patients were also stratified based on opioid use and development of low MV. Patient's length of stay (LOS) and number of SpO2 alarms were compared across groups (± opioids; ± low MV).


RESULTS
The electronic health records reported 113 SpO2 alarms; 105 (93%) not preceded by low MV and considered false. Low MV preceded the eight true desaturations by 12.8 ± 2.8 minutes. One hundred ninety-eight patients (76%) of 259 experienced one or more low MV events. Patients with low MV had significantly longer postanesthesia care unit (PACU) LOS than those maintaining "adequate MV": 2.8 ± 0.1 hours vs. 2.4 ± 0.1 hours (p < 0.001). Patients receiving opioids had increased likelihood of low MV (69% vs. 80%; p < 0.05) and had significantly longer PACU LOS than those without opioids (2.9 ± 0.1 hours vs. 2.3 ± 0.1 hours; p < 0.001). In the opioid group, PACU LOS was 75% longer in patients developing low MV versus maintaining adequate MV (3.0 ± 0.1 hours vs. 1.7 ± 0.2 hours; p < 0.001).


CONCLUSIONS
Respiratory volume monitoring can provide advanced warning of impending oxygen desaturation and potentially reduce the number of false SpO2 alarms. Opioid administration increased low MV events correlating with increased LOS. Respiratory volume monitoring can help clinicians individualize patient care, decrease false alarms, adjust opioid dosing, and increase PACU throughput. Similar benefits may translate to the general care floor and prehospital and posthospital environments.


METHODS
Diagnostic study, level II.
From the Department of Anesthesiology (S.M.G.), University of Maryland School of Medicine, Baltimore, Maryland; Department of Anesthesiology (P.G.D.), Emory University School of Medicine, Atlanta, Georgia; Respiratory Motion, Inc. (D.S.E.), Waltham, Massachusetts; and Post Anesthesia Care Units (E.E.G.), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Samuel M
SM
Galvagno
Peggy G
PG
Duke
Daniel S
DS
Eversole
Edward E
EE
George
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000701:Analgesics, Opioid / Q000009:adverse effects / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D010092:Oximetry; D010100:Oxygen / Q000097:blood*; D012123:Pulmonary Ventilation / Q000187:drug effects; D013990:Tidal Volume
D000701:Analgesics, Opioid; D010100:Oxygen