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Table 1 Critical incidents on acute pain services

From: Vital sign monitoring with continuous pulse oximetry and wireless clinical notification after surgery (the VIGILANCE pilot study)—a randomized controlled pilot trial

Author
Year
Schug [5]
1993
Sidebotham [6]
1997
Walder [7]
2001
Shapiro [2]
2005
Popping [3]
2008
Paul [8]
2013
Methodology
N (study)
Prospective cohort
3016
Prospective cohort 6035 Systematic review
1139
Prospective cohort
4500
Prospective cohort
18,925
Prospective cohort
27,550
Analgesia modality
N (cohort)
PCA
1111
PCA
5759
PCA
5759
Epidural PCA
4114
Epidural PCA
700
Epidural
680
PCA
1591
Epidural
14,223
PCA
18,406
Epidural
9144
Respiratory depression 3 (0.3%) 0 (0%) 14 (0.2%) 19 (4.6%) 13 (1.9%) 4 (0.6%) 63 (1.1%) 100 (0.7%) 135 (1.1%) 48 (0.7%)
Definition Naloxone required RR < 8 or SpO2% < 90 RR < 10 or SpO2% < 90 RR < 10 RR < 8 or SpO2% < 90 RR < 8 or SpO2% < 90
Unresponsive/severe sedation 6 (0.03%) 3 (0.03%)
Death 0 (0%) 0 (0%) 0 (0%) 3 (0.02%) 1 (0.01%)
  1. “–” not reported