To enhance the role of nursing interventions in the management of perioperative opioid-induced respiratory depression (OIRD) in patients with obstructive sleep apnea (OSA).Design:
Narrative review of the literature.Methods:
Literature reviewed with emphasis on recommendations by professional and accrediting organizations.Findings:
Postsurgical OIRD increases hospital stay (55%), cost of care (47%), 30-day readmission (36%), and inpatient mortality (3.4 fold). OSA increases the risk of OIRD and may result in legal claims averaging $2.5 million per legal claim.Conclusions:
Nursing interventions are essential to improving outcome and reduce cost in the management of postsurgical OIRD in OSA patients.