Postoperative treatment of the patient with obstructive sleep apnea

Ulnick, Keith M; Debo, Richard F.

doi:10.1016/s0194-5998(00)70245-2

Cited by 16 publications

(4 citation statements)

References 7 publications

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“…Continuous positive airway pressure (CPAP), the mainstay treatment for OSA, may be considered during the perioperative period, and elective polysomnography should be arranged later on [64]. For those with known OSA prior to hip fracture, adequate treatment, such as CPAP, mandibular advancement device, or oral appliances, should be provided as recommended by the guidelines from the American Society of Anaesthesiologists [62].…”

Section: Risk Factors For Ppcsmentioning

confidence: 99%

Pre-operative pulmonary assessment for patients with hip fracture

Siu

Tse

et al. 2010

Osteoporos Int

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Hip fracture is a common injury among the elderly. Although patients who receive hip fracture surgery carry the best functional recovery compared to other treatment modalities, the presence of postoperative pulmonary complications, such as atelectasis, pneumonia, and pulmonary thromboembolism, may contribute to increased length of hospital stay, perioperative morbidity, and mortality. This review aims to provide evidence-based recommendations for preoperative assessment and perioperative strategies to reduce the risk of pulmonary complications after hip fracture surgery. Clinical assessment and basic laboratory results are sufficient to stratify the risk of postoperative pulmonary complications. Well-documented risk factors for pulmonary complications include advanced age, poor general health status, current infections, pre-existing cardiopulmonary diseases, hypoalbuminemia, and impaired renal function. Apart from optimizing the patient's medical conditions, interventions such as lung expansion maneuvers and thromboprophylaxis have been proven to be effective in reducing the risk of pulmonary complications after hip fracture surgery.

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Section: Risk Factors For Ppcsmentioning

confidence: 99%

Pre-operative pulmonary assessment for patients with hip fracture

Siu

Tse

et al. 2010

Osteoporos Int

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“…Only one other prospective study exists in the literature regarding postoperative monitoring for patients undergoing OSA surgery. Ulnick and Debo conducted a small, prospective, nonrandomized study of 38 patients who underwent surgery for OSA 15. All patients were monitored in the ICU setting, and no complications were observed within 72 hours of surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Ulnick and Debo conducted a small, prospective, nonrandomized study of 38 patients who underwent surgery for OSA. 15 All patients were monitored in the ICU setting, and no complications were observed within 72 hours of surgery. They concluded that uncomplicated OSA patients without any significant comorbid factors can be treated in a safe and prudent fashion outside of an intensive care unit.…”

Section: Discussionmentioning

confidence: 99%

The early postoperative course of surgical sleep apnea patients

Rotenberg

Fuller

et al. 2010

The Laryngoscope

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“…y por supuesto conseguir que disminuya de peso para mantener el índice de masa corporal por debajo de 35. 14…”

Section: Discussionunclassified

Tracción de la base de la lengua mediante fijación para el tratamiento de la apnea del sueño

Carretero

Muñoz

Pons

et al. 2003

Rev Esp Cirug Oral y Maxilofac

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El síndrome de apnea obstructiva del sueño (SAOS) es un trastorno caracterizado por la aparición de pausas respiratorias durante el sueño por colapso de la vía aérea superior, que repercuten básicamente sobre el sistema nervioso y el aparato cardiorrespiratorio. La primera referencia a este síndrome aparece unos trescientos años antes de Jesucristo, en la antigua ciudad griega de Heracleia, donde encontramos la descripción de Dionisio, uno de sus gobernantes, como un individuo «de enorme obesidad con dificultades para

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Postoperative treatment of the patient with obstructive sleep apnea

Cited by 16 publications

References 7 publications

Pre-operative pulmonary assessment for patients with hip fracture

Pre-operative pulmonary assessment for patients with hip fracture

The early postoperative course of surgical sleep apnea patients

Tracción de la base de la lengua mediante fijación para el tratamiento de la apnea del sueño

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