Management of sleep apnea in adults - functional algorithms for the perioperative period: Continuing Professional Development

The importance of obstructive sleep apnoea management in peri-operative medicine

“…At present, the optimal clinical pathway for surgical patients with newly diagnosed OSA has not been determined [21,22,[28][29][30][31]. Should we diagnose and treat OSA before surgery?…”

Perioperative management of patients with obstructive sleep apnea: a survey of Canadian anesthesiologists

“…Despite the recommendations by the American Society of Anesthesiologists for development of institutional policies and the publication of a Canadian protocol, 11,12 nearly half of the respondents either were not aware of an institutional policy to guide their perioperative management of patients with OSA or reported an absence of an institutional policy. This proportion is greater than the one reported in a previous survey of Canadian anesthesiologists in which one-quarter of the respondents followed an institutional policy.…”

“…[4][5][6][7] It is recommended that additional monitoring of patients with known or suspected OSA be carried out in the postoperative period, but the degree to which this occurs and the nature of the additional monitoring required have not been well characterized. [11][12][13][14] A protocol for the perioperative management of OSA patients based on the experience of Canadian and US centres was recently published. 12 Prior to the publication of these guidelines and protocol, a survey of Canadian anesthesiologists on postoperative management of OSA patients was conducted and published in the Journal.…”

“…[11][12][13][14] A protocol for the perioperative management of OSA patients based on the experience of Canadian and US centres was recently published. 12 Prior to the publication of these guidelines and protocol, a survey of Canadian anesthesiologists on postoperative management of OSA patients was conducted and published in the Journal. 15 Nevertheless, it is not known whether either of these publications have had an impact on the perioperative management of OSA patients.…”

Obstructive sleep apnea syndrome and anesthesia

“…Havayolundaki obstrüksiyon, hastanın uyanması ve kas tonusunun düzelmesine kadar devam eder (9,10 OUAS tanısı olan hastalar değerlendirilirken; öykü ve PSG'ye göre değerlendirme yapılmalıdır. Hafif OUAS (AHI 5-15), Oksimetri ≥94 %, oda havası) olan hastalar da özel bir yönetime gerek yoktur (31). Ciddi OUAS tanısı olanlarda, CPAP kullanımının perioperatif komplikasyon riskini azalttığı gösterilmiştir (2,24).…”