Perioperative considerations in patients with obstructive sleep apnea

Current Respiratory Medicine Reviews

Volumn 3, Issue 4, 2007, Pages 245-253

  Auckley, Dennis ^a   Bolden, Norman ^b   Smith, Charles E ^b  

^a CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b METROHEALTH MEDICAL CENTER   (United States)

Author keywords

Cardiac surgery; Dexmedetomidine; General anesthesia; Positive Airway Pressure; Postoperative Positioning

Indexed keywords

ATRACURIUM; BARBITURIC ACID DERIVATIVE; BENZODIAZEPINE DERIVATIVE; DESFLURANE; DEXMEDETOMIDINE; ETOMIDATE; HALOTHANE; INHALATION ANESTHETIC AGENT; ISOFLURANE; KETAMINE; MIDAZOLAM; MORPHINE; MUSCLE RELAXANT AGENT; NARCOTIC ANALGESIC AGENT; OPIATE DERIVATIVE; PROPOFOL; RAMELTEON; REMIFENTANIL; ROCURONIUM; SEVOFLURANE; THIOPENTAL; VECURONIUM; ZOLPIDEM;

ADVERSE OUTCOME; ANESTHESIA INDUCTION; APNEA; BRADYCARDIA; CARDIOVASCULAR DISEASE; DOSE RESPONSE; DRUG BLOOD LEVEL; DRUG DISTRIBUTION; DRUG ELIMINATION; DRUG HALF LIFE; DRUG HYDROLYSIS; DRUG MEGADOSE; DRUG POTENTIATION; DRUG TISSUE LEVEL; HIGH RISK PATIENT; HUMAN; HYPERCAPNIA; HYPOTENSION; HYPOXIA; INTRAOPERATIVE PERIOD; LUNG DISEASE; LUNG MINUTE VOLUME; NONHUMAN; OXYGEN THERAPY; PATIENT MONITORING; PATIENT POSITIONING; PERIOPERATIVE PERIOD; PEROPERATIVE CARE; POLYSOMNOGRAPHY; POSITIVE END EXPIRATORY PRESSURE; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PAIN; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; RESPIRATION DEPRESSION; REVIEW; RISK ASSESSMENT; SIDE EFFECT; SLEEP APNEA SYNDROME; SURGICAL MORTALITY; SURGICAL RISK; SURGICAL TECHNIQUE;

EID: 36348966693     PISSN: 1573398X     EISSN: None     Source Type: Journal    
DOI: 10.2174/157339807782359896     Document Type: Review

References (87)

1. Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea; a population health perspective. Am J Respir Crit Care Med 2002; 165(9):1217-39.
2. Hiestand DM, Britz P, Goldman M, Phillips B. Prevalence of symptoms and risk of Sleep apnea in the US population: Results from the National Sleep Foundation sleep in America 2005 poll. Chest 2006; 130(3):780-6.
3. Turner K, Vandenkerkhof E, Lam M, Mackillop W. Perioperative care of patients with obstructive sleep apnea - a survey of Canadian anesthesiologists. Can J Anaesth 2006; 53(3): 299-304.
4. Siyam MA, Benhamou D. Difficult endotracheal intubation in patients with sleep apnea syndrome. Anesth Analg 2002; 95(4): 1098-102.
5. Keamy MF, Cadieux RJ, Kofke WA, Kales A. The occurrence of obstructive sleep apnea in a recovery room patient. Anesthesiology 1987; 66(2): 232-4.
6. Rennotte MT, Baele P, Aubert G, Rodenstein D. Nasal continuous positive airway pressure in the perioperative management of patients with obstructive sleep apnea submitted to surgery. Chest 1995; 107(2): 367-74.
7. Gupta R, Parvizi J, Hanssen A, Gay P. Postoperative complications in patients with obstructive sleep apnea syndrome undergoing hip or knee replacement: a case-control study. Mayo Clin Proc 2001; 76(9): 897-905.
8. Mooe T, Gullsby S, Rabben T, Eriksson P. Sleep-disordered breathing: a novel predictor of atrial fibrillation after coronary artery bypass surgery. Coron Artery Dis 1996; 7(6): 475-8.
9. Ostermeier A, Rozen M, Hautkappe M, Klock PA, Klafta JM. Three sudden postoperative respiratory arrests associated with epidural opioids in patients with sleep apnea. Anesth Analg 1997; 85: 452-60.
10. American Academy of Sleep Medicine. International classification of sleep disorders, 2nd ed.: Diagnostic and coding manual. Westchester, IL: American Academy of Sleep Medicine, 2005.
11. Flemons WW, Buysse D, Redline S, et al. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. Sleep 1999; 22(5): 667-89.
12. Strollo PJ, Rogers RM. Obstructive sleep apnea. N Engl J Med 1996; 334(2): 99-104.
13. Redline S, Strohl K. Recognition and consequences of obstructive sleep apnea hypopnea syndrome. Clin Chest Med 1998; 19: 1-19.
14. Ferguson KA, Ono T, Lowe AA, Ryan CF, Fleetham JA. The relationship between obesity and craniofacial structure in obstructive sleep apnea. Chest 1995; 108: 375-81.
15. Somers VK, Dyken ME, Mark AL, Abboud FM. Parasympathetic hyperresponsiveness and bradyarrhythmias during apnoea in hypertension. Clin Auton Res 1992; 2(3): 171-6.
16. Mehra R, Benjamin EJ, Shahar E, et al. Association of nocturnal arrhythmias with sleep-disordered breathing: The Sleep Heart Health Study. Am J Respir Crit Care Med 2006; 173(8): 910-6.
17. Gami AS, Howard DE, Olson EJ, Somers VK: Day-night pattern of sudden death in obstructive sleep apnea. N Engl J Med 2005; 352(12): 1206-14.
18. Marin JM, Carrizo SJ, Vicente E, Agusti AG. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet 2005; 365(9464): 1046-53.
19. Biddle C. Comparative aspects of the airway during general anesthesia in obese sufferers of sleep apnea and matched normals. Adv Prac Nurs Q 1996; 2(3): 14-19.
20. Mathru M, Esch O, Lang J, et al. Magnetic resonance imaging of the upper airway: effects of propofol anesthesia and nasal continuous positive airway pressure in humans. Anesthesiology 1996; 84(2): 273-9.
21. Drummond GB. Influence of thiopentone on upper airway muscles. Br J Anaesth 1989; 63(1): 12-21.
22. Nandi PR, Charlesworth CH, Taylor SJ, Nunn JF, Dore CJ. Effect of general anaesthesia on the pharynx. Br J Anaesth 1991; 66(2): 157-62.
23. Craig DB. Postoperative recovery of pulmonary function. Anesth Analg; 1981; 60: 46.
24. Marshall BE, Wyche MQ Jr. Hypoxamia during and after anesthesia. Anesthesiology 1972; 37(2): 178.
25. Esclamado RM, Glenn MG, McCulloch TM, Cummings CW. Perioperative complications and risk factors in the surgical treatment of obstructive sleep apnea syndrome. Laryngoscope 1989; 99(11): 1125-9.
26. Catley DM, Thornton C, Jordan C, Lehane JR, Royston D, Jones JG. Pronounced, episodic oxygen desaturation in the postoperative period: its association with ventilatory pattern and analgesic regimen. Anesthesiology 1985; 63(1): 20-8.
27. Sollevi A, Lindahl SG. Hypoxic and hypercapnic ventilatory responses during isoflurane sedation and anaesthesia in women. Acta Anaesthesiol Scand 1995; 39(7): 931-38.
28. Richard W, Kox D, den Herder C, Laman M, van Tinteren H, de Vries N. The role of sleep position in obstructive sleep apnea syndrome. Eur Arch Otorhinolaryngol 2006; 263(10): 946-50.
29. Charbonneau M, Marin J, Olha A, Kimoff RJ, Levy RD, Cosio MG. Changes in obstructive sleep apnea characteristics through the night. Chest 1994; 106(6): 1695-701.
30. Kaw R, Golish J, Ghamande S, Burgess R, Foldvary N, Walker E. Incremental risk of obstructive steep apnea on cardiac surgical outcomes. J Cardiovasc Surg 2006; 47(6): 683-9.
31. Sabers C, Plevak D, Schroeder D, Warner DO. The diagnosis of obstructive sleep apnea as a risk factor for unanticipated admissions in outpatient surgery. Anesth Analg 2003; 96: 1328-35.
32. Rosenberg J, Pedersen MH, Ramsing T, Kehlet H. Circadian variation in unexpected postoperative death. Br J Surg 1992; 79(12):1300-02.
33. Gentil B, Lienhart A, Fleury B. Enhancement of postoperative desaturation in heavy snorers. Anesth Analg 1995; 81(2): 389-92.
34. Orr WC, Stahl ML. Sleep disturbances after open heart surgery. Am J Cardiol 1977; 39(2): 196-201.
35. Knill RL, Moote CA, Skinner MI, et al. Anesthesia with abdominal surgery leads to intense REM sleep during the first postoperative week. Anesthesiology 1990; 73(1): 52-61.
36. Aurell J, Elmqvist D. Sleep in the surgical intensive care unit: continuous polygraphic recording of sleep in nine patients receiving postoperative care. BMJ 1985; 290(6474): 1029-32.
37. Goldman MD, Reeder MK, Muir AD, et al. Repetitive nocturnal arterial oxygen desaturation and silent myocardial ischemia in patients presenting for vascular surgery. J Am Geriatr Soc 1993; 41(7):703-9.
38. Young T, Evans L, Finn L, Palta M. Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women. Sleep 1997; 20(9):705-6.
39. Hallowell P, Stellato TA, Schuster M, et al. Potentially life-threatening sleep apnea is unrecognized without aggressive evaluation. Am J Surg 2007; 193(3): 364-7.
40. Young T, Skatrud J, Peppard PE. Risk factors for obstructive sleep apnea in adults. JAMA 2004; 291(16):2013-16.
41. Young T, Shabar E, Nieto J, et al. Predictors of sleep-disordered breathing in community-dwelling adults. Arch Intern Med 2002; 162(8): 893-900.
42. Chung F, Ward B, Ho J, Yuan H, Kayumov L, Shapiro C. Preoperative identification of sleep apnea risk in elective surgical patients, using the Berlin questionnaire. J Clin Anesth 2007; 19(2): 130-134.
43. Mallampati SR. In Airway Management: Principles and Practice, Recognition of the difficult airway. St. Louis, Mosby, 1996; 126-42.
44. Kim JA, Lee JJ. Preoperative predictors for difficult intubation in patients with obstructive sleep apnea syndrome. Can J Anaesth 2006; 53(4): 393-7.
45. Kheterpal S, Han R, Tremper KK, et al. Incidence and predictors of difficult and impossible mask ventilation. Anesthesiology 2006; 105(5):885-91.
46. Berry RB, Kouchi KG, Bower JL, Light RW. Effect of upper airway anesthesia on obstructive sleep apnea. Am J Respir Crit Care Med 1995; 151(6): 1857-61.
47. Pelosi P, Croci M, Ravagnan I, et al. The effects of body mass on lung volumes, respiratory mechanics and gas exchange during general anesthesia. Anesth Analg 1998; 87(3): 654-60.
48. Benumof JL, Dagg R, Benumof R. Critical hemoglobin desaturation will occur before return to an unparalyzed state after 1 mg/kg iatravenous succinylcholine. Anesthesiology 1997; 87(4): 979-82.
49. Riley RW, Powell NB, Guilleminault C, Pelayo, R, Troell RJ, Li KK. Obstructive sleep apnea surgery: risk management and complications. Otolaryngol Head Neck Surg 1997; 117(6): 648-52.
50. Roizen MF, Fleisher LA. In Miller's Anesthesia, 6th ed., Anesthetic implications of concurrent diseases. Edited by Miller RD. Elsevier Churchill Livingstone, Philadelphia. 2005; 1017-149.
51. Isono S, Tanaka A, Ishikawa T, Tagaito Y, Nishino T. Sniffing position improves pharyngeal airway patency in anesthetized patients with obstructive sleep apnea. Anesthesiology 2005; 103(3): 489-94.
52. Rodgers A, Walker N, Schug SA, et al. Reduction of postoperative mortality and morbidity with epidural or spinal anesthesia: results from an overview of randomized trials. BMJ 2000; 321(7275):1493.
53. Gonano C, Leitgeb U, Sitzwohl C, et al. Spinal versus general anesthesia for orthopedic surgery: anesthesia drug and supply costs. Anesth Analg 2006; 102(2): 524-9.
54. Lan CK, Rose MW. Perioperative management of obstructive sleep apnea. Sleep Med Clin 2006; 1(4); 541-8.
55. Wieczorek PM, Carli F. Obstructive sleep apnea uncovered aftear high spinal anesthesia: a oase reporL Can J Aaaesth 2005; 52: 761-4.
56. Isono S, Tanaka A, Nishino T. Lateral position decreases collapsibility of the passive pharynx in patients with obstructive sleep apnea. Anesthesiology 2002; 97: 780-5.
57. Waters KA, McBrien F, Stewart P, Hinder, M, Wharton S. Effects of OSA, inhalational anesthesia, and fentanyl on the airway and ventilation of children. J Appl Physiol 2002; 92: 1987-94.
58. Eastwood PR, Szollosi I, Platt PR, Hillman DR. Comparison of upper airway collapse during general anesthesia and sleep. Lancet 2002; 359(9313): 1207-9.
59. Pawlik MT, Hansen E, Waldhauser D, Selig C, Kuehnel TS. Clonidine premedication in patients with sleep apnea syndrome: a randomized, double-blind, placebo-controlled study. Anesth Analg 2005; 101(5): 1374-80.
60. Reves JG, Glass PSA, Lubarsky, DA, McEvoy MD. In Miller's Anesthesia, 6th ed., Intravenous nonopioid anesthesia. Edited by Miller RD. Elsevier Churchill Livingstone, Philadelphia. 2005; 317-78.
61. Bailey PL, Pace NL, Ashburn MA, Moll JW, East KA, Stanley TH. Frequent hypoxemia and apnea after sedation with midazolam and fentanyl. Anesthesiology 1990; 73(5): 826-30.
62. Bovill JG, Boer F: Opioids in cardiac anesthesia. In Cardiac Anesthesia, 4th ed., Edited by Kaplan JA. WA Saunders, Philadelphia. 1999; 573-609.
63. Berkenbosch A, Oliever CN, Wolsink JG, DeGoede J, Rupreht J. Effects of morphine and physostigmine on the ventilatory response to carbon dioxide. Anesthesiology 1994;80(6): 1303-10.
64. Berkenbosch A, Teppema LJ, Olievier CN, Dahan A. Influences of morphine on the veatilatory response to isocapmic hypoxia. Anesthesiology 1997; 86(6): 1342-9.
65. Etches RC. Respiratory depression associated with patient-controlled analgesia: a review of eight cases. Can J Anaesth 1994; 41(2): 125-132.
66. Krane BD, Kreutz JM, Johnson DL, Mazuzan JE. Alfentanil and delayed respiratory depression: case studies and review. Anesth Analg 1990; 70(5): 557-61.
67. Dershwitz M, Randel GI, Rosow CE, et al. Initial clinical experience with remifentanil, a new opioid metabolized by esterases. Anesth Analg 1995; 81(3): 619-23.
68. Belmont MR, Scott RPF. In Cardiac Anesthesia, 4th ed., Muscle relaxants and the cardiovascular system. Philadelphia, WA Saunders, 1999; 635-55.
69. Farber NE, Pagel PS, Warltier DC. In Miller's Anesthesia, 6th ed., Pulmonary pharmacology. Edited by Miller RD. Elsevier Churchill Livingstone, Philadelphia. 2005; 155-89.
70. 2 in children with obstructive sleep apnea from adenotonsillar hypertrophy. Anesth Analg 1999; 89(2): 328-32.
71. Nishino T, Shirahata M, Yonezawa T, Honda Y. Comparison of changes in the hypoglossal and the phrenic nerve activity n response t increasing depth of anesthesia in cats. Anesthesiology 1984; 60(1): 19-24.
72. Ochiai R, Guthrie RD, Motoyama EK. Effects of varying concentration of halothane on the activity of the genioglossus, intercostals and diaphragm in cats: an electromyographic study. Anesthesiology 1989, 70(5): 812-6
73. Ebert TJ, Hall JE, Barney JA, Uhrich TD, Colinco MD. The effects of increasing plasma concentrations of doxmedetomidine in humans. Anesthesiology 2000; 93(2): 382-394.
74. Venn RM, Grounds RM. Comparison between dexmodetomidine and propofol for sedation in the intensive care unit: patient and clinician perceptions. Br J Anaesth 2001; 87(5): 684-90.
75. Ramsay MA, Luterman DL. Dexmedetomidine as a total intravenous anesthetic agent. Anesthesiology 2004; 101(3): 787-90.
76. Avitsian R, Manlapaz M, Doyle DJ. Dexmedetomidine as a sedative for awake fiberoptic intubation. Trauma Care 2007; 17(1): 19-24.
77. PRECEDEX (dexmedetomidine HCl) Injection package insert.
78. Meoli A, Rosen CL, Kristo D, et al. Upper airway management of the adult patient with obstructive sleep apnea in the perioperative period - avoiding complications. Sleep 2003; 26(8): 1060-5.
79. Gross JB, Bachenberg KL, Benumof JL, et al. Practice guidelines for the perioperative management of patients with obstructive sleep apnea: a report by the American Society of Anesthesiologists Task Force on perioperative management of patients with obstructive sleep apnea. Anesthesiology 2006; 104(5): 1081-93.
80. Benumof J: Policies and procedures needed for sleep apnea patients. Anesthesia Safety Foundation Newsletter 2002-2003; 17(4): 57.
81. Deutscher R, Bell D, Sharma S, et al: OSA protocol promotes safer care. Anesthesia Safety Foundation Newsletter. 2002-2003; 17(4): 58.
82. Obuaya C, Punchihewa V, Tully R. Postoperative management of patients with obstructive sleep apnea syndrome. Br J Anaesth 2007; 98(5): 696.
83. Kaw R, Michota F, Jaffer A, et al. Unrecognized sleep apnea in the surgical patient: implications for the perioperative setting. Chest 2006; 129(1): 198-205.
84. Benumof JL. Obstructive sleep apnea in the adult obese patient: implications for airway management: Anesthesiology Clin N Am 2002; 20(4): 789-811.
85. Burns SM, Egloff MB, Ryan B, Carpenter R, Burns JE. Effect of body position on spontaneous respiratory rate and tidal volume in patients with obesity, abdominal distention and ascites. Am J Crit Care 1994; 3(2): 102-6.
86. Neill AM, Angus SM, Sajkov D, McEvoy RD. Effects of sleep posture on upper airway stability in patients with obstructive sleep apnea. Am J Respir Crit Care Med 1997; 155(1): 199-204.
87. Young ML, Hanson CW. An alternative to tracheostomy following transsphenoidal hypophysectomy in a patient with acromegaly and sleep apnea. Anesth Analg 1993; 76(2): 446-9.