Perioperative Care of Patients with Obstructive Sleep Apnea

Kaw, Roop; Gali, Bhargavi; Collop, Nancy A.

doi:10.1007/s11940-011-0138-5

Cited by 11 publications

(7 citation statements)

References 52 publications

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“…The following recommendation was formulated concerning PAP use and postoperative monitoring: PAP use is not an independent factor when considering prolonged postoperative monitoring (Q3.2.2). Postoperative PAP use has beneficial cardiorespiratory outcomes in patients with OSA and can reduce respiratory compromise and complications . However, to our knowledge, no studies concerning prolonged postoperative monitoring and PAP use have been conducted.…”

Section: Resultsmentioning

confidence: 99%

Perioperative Care of Patients With Obstructive Sleep Apnea Undergoing Upper Airway Surgery

Ravesloot

Raaff

Beek

et al. 2019

JAMA Otolaryngol Head Neck Surg

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IMPORTANCETo date, no consensus exists regarding optimal perioperative care of patients with obstructive sleep apnea (OSA) undergoing upper airway (UA) surgery. These patients are at risk related to anesthesia and postoperative analgesia, among other risks associated with difficult airway control, and may require intensified perioperative management.OBJECTIVE To provide a consensus-based guideline by reviewing available literature and collecting expert opinion during an international consensus meeting with experts from relevant speciliaties. EVIDENCE REVIEWIn a consensus meeting conducted on April 4, 2018, a total of 47 questions covering preoperative, intraoperative, and postoperative care were formulated by 12 international experts with extensive clinical experience in the field of UA surgery for OSA. Systematic literature searches were performed by an independent information specialist and 6 researchers according to the Oxford and GRADE systems, and 164 articles published on or before December 31, 2011, were included in the analysis. Two moderators chaired the meeting according to the Amsterdam Delphi Method, including iteration of literature conclusions, expert discussion, and voting rounds. Consensus was reached when there was 70% or more agreement among experts.FINDINGS Of 47 questions, 35 led to a recommendation or statement. The remaining 12 questions provided no additional information and were excluded in the judgment of experts. Consensus was reached for 32 recommendations. For 1 question there was less than 70% agreement among experts; therefore, consensus was not achieved. Highlights of these recommendations include (1) postoperative bleeding is a complication described for all types of UA surgery; (2) OSA is a relative risk factor for difficult mask ventilation and intubation, and plans for difficult airway management should be considered and implemented; (3) safe perioperative care should be provided, with aspects such as OSA severity, adherent use of positive airway pressure, type of surgery, and comorbidities taken into account; (4) although there is no direct evidence to date, in patients undergoing UA surgery, preoperative treatment with positive airway pressure may reduce the risk of postoperative airway complications; and (5) alternative pain management options perioperatively to reduce opioid use should be considered.CONCLUSIONS AND RELEVANCE This consensus contains 35 recommendations and statements on the perioperative care of patients with OSA undergoing UA surgery and may be used as a guideline in daily practice.

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Section: Resultsmentioning

confidence: 99%

Perioperative Care of Patients With Obstructive Sleep Apnea Undergoing Upper Airway Surgery

Ravesloot

Raaff

Beek

et al. 2019

JAMA Otolaryngol Head Neck Surg

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“…516 Patients at high risk of obesity hypoventilation syndrome who are undergoing NCS should be referred for additional specialist investigation of sleep-disordered breathing and pulmonary hypertension, with pre-operative initiation of appropriate positive airway pressure therapy, and planning of peri-operative techniques (anaesthetic and surgical) and post-operative positive airway pressure management within an appropriate monitored environment. 516,517…”

Section: Pulmonary Diseasementioning

confidence: 99%

2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery

Halvorsen¹,

Mehilli²,

Cassese³

et al. 2022

European Heart Journal

444

200

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All experts involved in the development of these guidelines have submitted declarations of interest. These have been compiled in a report and simultaneously published in a supplementary document to the guidelines. The report is also available on the ESC website www.escardio.org/Guidelines See the European Heart Journal online for supplementary data that include background information and detailed discussion of the data that have provided the basis of the guidelines.Click here to access the corresponding ESC CardioMed chapters.

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“…Дослідження показали, що обструктивне апное уві сні підвищує ризик ускладнень хірургічних операцій, більш складних інтубацій трахеї, збільшує використання міорелаксантів і вимагає спеціального положення тіла на операційному столі. Тому є обов'язковим обстеження цих груп пацієнтів на обструктивне апное уві сні [13].…”

Section: науковий огляд / Scientific Reviewunclassified

Поширеність І Проблеми Коморбідних (Поліморбідних) Станів В Анестезіології: Огляд Літератури

Markov

2021

ЕМ

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В оглядовій статті висвітлені питання поширеності коморбідних станів, простежена тенденція її зростання, проаналізовано дослідження вчених, які вказують на основні проблеми коморбідності, адже взаємовплив захворювань може змінювати клінічну картину, перебіг хвороб, характер і тяжкість ускладнень, а також знижувати тривалість і якість життя пацієнта. Відзначено деякі особливості анестезіологічного забезпечення цих станів і наслідки їх виникнення в періопераційному періоді, основними з яких були збільшення використання ресурсів, зростання післяопераційної захворюваності й смертності.

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Perioperative Care of Patients with Obstructive Sleep Apnea

Cited by 11 publications

References 52 publications

Perioperative Care of Patients With Obstructive Sleep Apnea Undergoing Upper Airway Surgery

Perioperative Care of Patients With Obstructive Sleep Apnea Undergoing Upper Airway Surgery

2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery

Поширеність І Проблеми Коморбідних (Поліморбідних) Станів В Анестезіології: Огляд Літератури

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