Abstract
Patients with obstructive sleep apnea (OSA) are at increased risk to sustain adverse events during the perioperative period including difficulty with airway control, hypoxemia, airway obstruction requiring reintubation, arrhythmias, myocardial ischemia, and death. Numerous factors appear to be responsible for these consequences, including the effects of anesthetic agents, narcotics, postoperative supine positioning and, in some cases, the surgical intervention itself. The situation is complicated by the fact that most patients with OSA are undiagnosed and there is often insufficient time for adequate evaluation prior to surgery. Perioperative care providers need to maintain a high index of suspicion for OSA and should consider guidelines to help with the recognition and management of these patients. This review will discuss the available literature regarding the preoperative, intraoperative and postoperative evaluation and management of patients with known or suspected OSA undergoing surgery.
Keywords: cardiac surgery, General anesthesia, Dexmedetomidine, Postoperative Positioning, Positive Airway Pressure
Current Respiratory Medicine Reviews
Title: Perioperative Considerations in Patients with Obstructive Sleep Apnea
Volume: 3 Issue: 4
Author(s): Dennis Auckley, Norman Bolden and Charles E. Smith
Affiliation:
Keywords: cardiac surgery, General anesthesia, Dexmedetomidine, Postoperative Positioning, Positive Airway Pressure
Abstract: Patients with obstructive sleep apnea (OSA) are at increased risk to sustain adverse events during the perioperative period including difficulty with airway control, hypoxemia, airway obstruction requiring reintubation, arrhythmias, myocardial ischemia, and death. Numerous factors appear to be responsible for these consequences, including the effects of anesthetic agents, narcotics, postoperative supine positioning and, in some cases, the surgical intervention itself. The situation is complicated by the fact that most patients with OSA are undiagnosed and there is often insufficient time for adequate evaluation prior to surgery. Perioperative care providers need to maintain a high index of suspicion for OSA and should consider guidelines to help with the recognition and management of these patients. This review will discuss the available literature regarding the preoperative, intraoperative and postoperative evaluation and management of patients with known or suspected OSA undergoing surgery.
Export Options
About this article
Cite this article as:
Auckley Dennis, Bolden Norman and Smith E. Charles, Perioperative Considerations in Patients with Obstructive Sleep Apnea, Current Respiratory Medicine Reviews 2007; 3 (4) . https://dx.doi.org/10.2174/157339807782359896
DOI https://dx.doi.org/10.2174/157339807782359896 |
Print ISSN 1573-398X |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-6387 |
Call for Papers in Thematic Issues
Exposure to PM2.5 components is associated with respiratory diseases
Through continuous research on the relationship between risk factors and health, it has been found that air pollution, especially atmospheric particulate matter pollution, has become one of the main sources of global disease burden. From 1990 to 2022, the concentration of atmospheric particulate matter pollution has increased by more than ...read more
- Author Guidelines
- Graphical Abstracts
- Fabricating and Stating False Information
- Research Misconduct
- Post Publication Discussions and Corrections
- Publishing Ethics and Rectitude
- Increase Visibility of Your Article
- Archiving Policies
- Peer Review Workflow
- Order Your Article Before Print
- Promote Your Article
- Manuscript Transfer Facility
- Editorial Policies
- Allegations from Whistleblowers
Related Articles
-
Triple Threat: The Na+/Ca2+ Exchanger in the Pathophysiology of Cardiac Arrhythmia, Ischemia and Heart Failure
Current Drug Targets Brutons Tyrosine Kinase as a New Therapeutic Target
Anti-Cancer Agents in Medicinal Chemistry Polyphenols and Aging
Current Aging Science Diet Bioactive Compounds: Implications for Oxidative Stress and Inflammation in the Vascular System
Endocrine, Metabolic & Immune Disorders - Drug Targets Treatment of Type 1 Diabetic Patients with Glucagon-Like Peptide-1 (GLP-1) and GLP-1R Agonists
Current Diabetes Reviews Melatonin in the Biliary Tract and Liver: Health Implications
Current Pharmaceutical Design Glucose Blood Levels as a Therapeutic Target in Acute Ischaemic Stroke Setting
Current Topics in Medicinal Chemistry Nitric Oxide is a Central Common Metabolite in Vascular Dysfunction Associated with Diseases of Human Pregnancy
Current Vascular Pharmacology Effects of Anesthetics on Mitochondrial Signaling and Function
Current Drug Safety Angiogenesis Markers in Gynecological Tumors and Patents for Anti- Angiogenic Approach: Review
Recent Patents on Anti-Cancer Drug Discovery HspB5/αB-Crystallin: Properties and Current Progress in Neuropathy
Current Neurovascular Research Advanced Diabetes Care: Three Levels of Prediction, Prevention & Personalized Treatment
Current Diabetes Reviews The Future of Collateral Artery Research
Current Cardiology Reviews Malignant Hypertension: A Rare Problem or is it Underdiagnosed?
Current Vascular Pharmacology Recent Developments of Melatonin Related Antioxidant Compounds
Combinatorial Chemistry & High Throughput Screening Gene Therapy in Cardiovascular Diseases
Current Gene Therapy Pharmacotherapy for Intermittent Claudication: From Consensus-Based to Evidence-Based Treatment
Vascular Disease Prevention (Discontinued) Pharmacogenomics: A Tool to Prevent and Cure Coronary Heart Disease
Current Pharmaceutical Design The Role of Melatonin in Pancreatic Protection: Could Melatonin be Used in the Treatment of Acute Pancreatitis?
Current Pharmaceutical Design Therapeutic Angiogenesis for Islet Revascularization
Immunology, Endocrine & Metabolic Agents in Medicinal Chemistry (Discontinued)