Observation of standard of care with capnography blinded

Observation of standard of care with capnography blinded

Identification by blinded capnography to understand the ventilation challenges of patient in the PACU during standard of care that does not include capnography. First tier is RN (Registered Nurse) level of notification for early intervention and second tier is level at which covering MD (Medical Doctor) might request notification:

1. High Respiration Rate >25 bpm for > 15 seconds (tier one) and >30 bpm for more than 30 seconds (tier two)
2. Low Respiration Rate < 8 bpm for more than 15 seconds and < 6 bpm for more than 30 seconds
3. High end tidal CO2 (EtCO2) > 55 mmHg for > 15 seconds and > 60 mmHg for more than 30 seconds
4. Low EtCO2 < 25 mmHg for > 15 seconds and < 25 mmHg for more than 30 seconds
5. High Heart Rate > 120/min for 15 seconds and >120/min for 30 seconds
6. Low Heart Rate < 40/min for 15 seconds and < 40/min for 30 seconds
7. SpO2 (oxygen saturation by pulse oximetry) /Hypoxemia < 90% for more than 15 seconds and< 90% for more than 30 seconds

Critical CRAE in the PACU or in 24 hour post PACU chart review:

1. Narcotic overdose that required an Opioid reversal
2. Partial airway obstruction that required an NMBA (neuromuscular blocking agent) antagonist
3. Respiratory Insufficiency that would require Non-invasive positive pressure ventilation, ambu bag mask assisted ventilation
4. Respiratory failure that would Invasive mechanical ventilation
5. Upper airway obstruction requiring airway support measures (oral or nasal) such as intubation, LMA (laryngeal mask airway), or airway
6. Respiratory insufficiency/failure that would require a transfer to the ICU
7. Cardiopulmonary arrest
8. Death due to respiratory/pulmonary related complications Other (free text that might capture aspiration, pneumothorax)