Perioperative Pulmonary Outcomes in Patients with Sleep Apnea After Noncardiac Surgery

Memtsoudis, Stavros G.; Liu, Spencer S.; Ma, Yan; Chiu, Ya-Lin; Walz, J. Matthias; Gaber-Baylis, Licia K.; Mazumdar, Madhu

doi:10.1213/ane.0b013e3182009abf

Cited by 276 publications

(89 citation statements)

References 37 publications

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“…Sabers et al did not find any difference in rates of postoperative complications or rate hospital admissions in the 234 OSA patients when compared to 234 control patients [24]. More recent larger retrospective observational studies using pre-existing databases [12,30] that have controlled for confounding factors using propensity scores demonstrate an increased risk of aspiration pneumonia [30], respiratory failure [30], ARDS [30], postoperative hypoxemia [12], and longer length of hospital stay [12].…”

Section: Obstructive Sleep Apnea and Postoperative Complicationsmentioning

confidence: 98%

“…Case reports [27,28] and observational studies [3][4][5]12,29,30] suggest an increased rate of perioperative complications in patients with obstructive sleep apnea undergoing non upper-airway surgery, but this finding is by no means universal [24]. Overall, there is insufficient data from randomized trials in the published literature regarding obstructive sleep apnea as a risk for increased cardiovascular or respiratory complications postoperatively, independent of other comorbidities and obesity [31].…”

Section: Obstructive Sleep Apnea and Postoperative Complicationsmentioning

confidence: 99%

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Obstructive Sleep Apnea and Post-Operative Complications: Single Center Data, Review of Literature and Guidelines for Practicing Internists and Surgeons

Nugent¹,

Phy²,

Raj³

2012

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Obstructive sleep apnea has been linked to higher rates of post-operative complications in some studies. We examined the prevalence of obstructive sleep apnea and its impact on post-operative complications in 125 patients (21 prospective, 104 retrospective) undergoing various elective outpatient surgeries at our institution. Ten percent of these patients had OSA, and half of them were on continuous positive airway pressure therapy (CPAP). Patients who were on CPAP as outpatients received CPAP post-operatively as well. No patients died, and the prevalence of post-operative complications was low. There was no difference in complication rates between patients with and without OSA. We also review the existing literature on this subject and make practical recommendations regarding pre-operative evaluation and postoperative management of these patients for practicing internists and surgeons based on the current literature.

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Section: Obstructive Sleep Apnea and Postoperative Complicationsmentioning

confidence: 98%

Section: Obstructive Sleep Apnea and Postoperative Complicationsmentioning

confidence: 99%

Obstructive Sleep Apnea and Post-Operative Complications: Single Center Data, Review of Literature and Guidelines for Practicing Internists and Surgeons

Nugent¹,

Phy²,

Raj³

2012

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“…Her ne kadar geniş olgu serilerinde yapılmış çalış-malarla ortaya konmamış da olsa, uzman görüşü olarak kullanılan ifadelerde; daha invazif işlemlerin daha fazla anestetik, sedatif ve analjezik kullanılması nedeniyle OSA hastalarında postoperatif komplikasyon olasılığını arttırdığı düşünülmektedir (6,21,26,27).…”

Section: Peri̇operati̇f Obstrükti̇f Uyku Apne Sendromu Alevlenmesi̇unclassified

In Terms Of Thoracıc Surgery: Approaches To Lung Cancer Coexıstıng Wıth Sleep Dısordered Breathıng

Karasulu¹,

Özdemir²

2016

Toraks Cer Bult

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For lung cancer patients, sleep disorders such as insomnia, circadian rhythm disorders, sleep disorders that result from intensive care, and movement disorders resulting from chemotherapy are listed under the title of sleep disorders that constitute the important disorders. This review will offer suggestions about the effects of sleep-related breathing disorders on the perioperative period and the management of its likely effects because this review appeals to its probable readers more with its high incidence, and the results become important when accompanied by thoracic surgery.Keywords: Lung cancer, CPAP ventilation, perioperative procedure, sleep ÖzetAkciğer kanseri hastalarında uyku sorunları başlığı altına insomni, sirkadien ritm bozuklukları, yoğun bakım kaynaklı uyku bozuklukları, kemoterapi kaynaklı hareket bozuklukları gibi neredeyse uyku bozuklukları yelpazesinin önemli bir bölümünü içeren başlıklar girmektedir. Bu yazıda gerek yazı-nın muhtemel okurlarını daha fazla ilgilendirmesi, gerekse toplumsal sıklığı ve torasik cerrahiye komorbid olduğunda sonuçlarının önem arz etmesi nedeniyle, uyku ile ilişkili solunum bozuklularının perioperatif döneme etkileri ve muhtemel sonuçların yönetimine dair önerilere değinilecektir.Anahtar kelimeler: Akciğer kanseri, CPAP ventilasyon, perioperatif işlemler, uyku

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“…Patienten mit einer orthopädischen Operation an den unteren Extremitäten und 3,4 Mio. allgemeinchirurgische Patienten eingeschlossen [23]. In dieser Kohorte hatten die orthopädischen Patienten mit bekannter OSA ein signifikant erhöhtes Risiko für respiratorische Komplikationen (Aspirationspneumonie: Odds Ratio [OR] 1,4; Adult Respiratory Distress Syndrome OR 2,4; Notwendigkeit der Reintubation OR 5,2; Lungenembolien OR 1,1).…”

Section: Postoperative Komplikationenunclassified

Perioperative Versorgung von Patienten mit obstruktiver Schlafapnoe

Zausig

Arzt

2014

Pneumologe

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Die Prävalenz einer klinisch relevanten obstruktiven Schlafapnoe (OSA; Apnoe-Hypopnoe-Index ≥15/h) liegt in der Allgemeinbevölkerung bei etwa 4-9% [21], wobei in Abhängigkeit von Definition, Schweregrad und vorhandenen Risikofaktoren eine Prävalenz von bis zu 76% beschrieben wird [7].Insbesondere operative Patienten weisen im Allgemeinen eine höhere Prä-valenz von 7-22% auf (ausgesuchte Risikogruppen bis zu 71%; [9, 10, 12]).Dieses Patientengut ist neben dem Grundleiden auch durch die damit verbundenen Begleit-bzw. Folgeerkrankungen perioperativ besonders gefährdet, ernsthafte Komplikationen zu erleiden, und benö-tigt deswegen eine außergewöhnliche Aufmerksamkeit [26,29]. Obwohl verschiedene Handlungsempfehlungen bzw. Leitlinien für das perioperative Vorgehen [13,15,30] vorliegen, ist die Umsetzung derzeitig uneinheitlich. Erschwert wird die perioperative Betreuung, da viele der Patienten gar nicht oder nur unzureichend diagnostiziert bzw. therapiert sind. Dadurch wird eine präoperative Evaluation und Optimierung des individuellen Risikos deutlich eingeschränkt und das Auftreten perioperativer Komplikationen kann somit nur bedingt vermieden werden [10,36].Der folgende Beitrag gibt einen Über-blick zur Einschätzung des perioperativen Risikos und zum Vorgehen während der prä-, intra-und postoperativen Phase zur Verminderung bzw. Vermeidung perioperativer Komplikationen.

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Perioperative Pulmonary Outcomes in Patients with Sleep Apnea After Noncardiac Surgery

Abstract: SA is an independent risk factor for perioperative pulmonary complications. Our results may be used for hypothesis generation for clinical studies targeted to improve perioperative outcomes in this patient population.

Cited by 276 publications

References 37 publications

Obstructive Sleep Apnea and Post-Operative Complications: Single Center Data, Review of Literature and Guidelines for Practicing Internists and Surgeons

Obstructive Sleep Apnea and Post-Operative Complications: Single Center Data, Review of Literature and Guidelines for Practicing Internists and Surgeons

In Terms Of Thoracıc Surgery: Approaches To Lung Cancer Coexıstıng Wıth Sleep Dısordered Breathıng

Perioperative Versorgung von Patienten mit obstruktiver Schlafapnoe

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