Respiratory Compromise: Common, Costly, Deadly, and Preventable
ESA Academy. Academy E.
Jan 2, 2019; 256665
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Respiratory Compromise is a state in which there is a high likelihood of decompensation into respiratory insufficiency, respiratory failure or death, but in which specific interventions (enhanced monitoring and/or therapies) might prevent or mitigate decompensation.

Complications from Respiratory Compromise are increasing rapidly across the clinical spectrum, in part due to expanded use of opioids combined with the lack of standardized guidelines among medical specialties. While Respiratory Compromise creates problems that are often serious and potentially life-threatening, they are almost always preventable with the proper tools and approach.

​Appropriate patient monitoring and therapeutic strategies are necessary for early recognition, intervention and treatment.
- Understand the importance of improving our current Respiratory Compromise prevention paradigms

- Define Respiratory Compromise including the patient pathway and clinical objectives at each phase

- Assess major literature on continuous pulse oximetry and capnography

- Understand the 3 physiologic pathways that lead to respiratory failure and arrest

- Understand the reliability, response time, and accuracy of monitoring options

- Learn how capnography waveform provide indication of the quality of ventilation

​- Recognize the importance of early recognition and intervention in Respiratory Compromise
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