Perioperative treatment of patients with obstructive sleep apnea

Current Opinion in Pulmonary Medicine

Volumn 10, Issue 6, 2004, Pages 482-488

  Jain, Saniay S ^a   Dhand, Rajiv ^a  

^a UNIVERSITY OF MISSOURI   (United States)

Author keywords

Conscious sedation; Obstructive sleep apnea; Perioperative management

Indexed keywords

ANALGESIC AGENT; ANESTHETIC AGENT; NALOXONE; SEDATIVE AGENT;

ADULT; ANALGESIA; ANESTHESIA; APNEA; ENDOTRACHEAL INTUBATION; HEART ARRHYTHMIA; HEART INFARCTION; HUMAN; HYPOXEMIA; INTRAOPERATIVE PERIOD; MAJOR CLINICAL STUDY; MAXILLOFACIAL SURGERY; PATIENT MONITORING; POSITIVE END EXPIRATORY PRESSURE; PREOPERATIVE EVALUATION; RESPIRATION DEPRESSION; RESPIRATORY ARREST; REVIEW; RISK FACTOR; SEDATION; SLEEP APNEA SYNDROME; SLEEP DISORDER; SURGICAL PATIENT; UVULOPALATOPHARYNGOPLASTY;

EID: 7444226819     PISSN: 10705287     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.mcp.0000143968.41702.f0     Document Type: Review

References (49)

1. Young T, Palta M, Dempsey J, et al.: The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993, 328:1230-1235.
2. Harbison J, O'Reilly P, McNicholas WT: Cardiac rhythm disturbances in the obstructive sleep apnea syndrome: effects of nasal continuous positive airway pressure. Chest 2000, 118:591-595.
3. Peker Y, Hedner J, Kraiczi H, et al.: Respiratory disturbance index: an independent predictor of mortality in coronary artery disease. Am J Respir Crit Care Med 2000, 162:81-86.
4. Harbison JA, Gibson GJ: Snoring, sleep apnoea, and stroke: chicken or scrambled egg? QJM 2000, 93:647-654.
5. Peker Y, Hedner J, Norum J, et al.: Increased incidence of cardiovascular disease in middle-aged men with obstructive sleep apnea: a 7-year follow-up. Am J Respir Crit Care Med 2002, 166:159-165.
6. Jennum P, Borgesen SE: Intracranial pressure and obstructive sleep apnea. Chest 1989, 95:279-283.
7. Rosenberg J, Kehlet H: Postoperative mental confusion: association with postoperative hypoxemia. Surgery 1993, 114:76-81.
8. Kehlet H, Rosenberg J: Late post-operative hypoxaemia and organ dysfunction. Eur J Anaesthesiol Suppl 1995, 10:31-44.
9. Jarrel L: Preoperative diagnosis and postoperative management of adult patients with obstructive sleep apnea syndrome: a review of literature. J Perianesth Nurs 1999, 14:193-200.
10. National Center for Health Statistics: http://www.cdc.gov/nchs/fastats/ insurg.htm
11. Pelosi P, Croci M, Ravagnan I, et al.: Total respiratory system, lung, and chest wall mechanics in sedated-paralyzed postoperative morbidly obese patients. Chest 1996, 109:144-151.
12. Sargent MA, McEachern AM, Jamieson DH, et al.: Atelectasis on pediatric chest CT: comparison of sedation techniques. Pediatr Radiol 1999, 29:509-513.
13. Boushra NN: Anesthetic management of patients with sleep apnoea syndrome. Can J Anaesth 1996, 43:599-616.
14. Jones JG, Sapsford DJ, Wheatly RG: Post-operative hypoxemia: mechanisms and time course. Anesthesia 1990, 45:566-573.
15. Catley DM: Postoperative analgesia and respiratory control, Int Anesthesiol Clin 1984, 22:95-111.
16. Tierney NM, Pollard BJ, Doran BR: Obstructive sleep apnea. Anesthesia 1989, 44:235-237.
17. Nishino T, Shirhata M, Toshihide Y, et al.: Comparison of phrenic nerve activity in response to increasing depth of anesthesia in cats. Anesthesiology 1984, 60:19-24.
18. Sharma VK, Galli W, Haber A, et al.: Unexpected risks during administration of conscious sedation: previously undiagnosed obstructive sleep apnea. Ann Intern Med 2003, 139:707-708.
19. Sollevi A, Lindahl SG: Hypoxic and hypercapneic ventilatory responses during isoflurane sedation and anaesthesia in women. Acta Anaesthesiol Scand 1995, 39:931-938.
20. Wiegland L, Zwillich CW, White DP: Sleep and the ventilatory response to resistive loading in normal men. J Appl Physiol 1988, 64:1186-1195.
21. Wilson PA, Skatrud JB, Dempsey JA: Effects of slow wave sleep on ventilatory compensation to inspiratory elastic loading. Respir Physiol 1984, 55: 103-120.
22. Lehmkuhl P, Herer P, Pichlmayr I: General anesthesia and postnarcotic sleep disorders. Neuropsychobiology 1987, 18:37-42.
23. Aurell J, Elmqvist D: Sleep in the surgical intensive care unit: continuous polygraphic recording of sleep in nine patients receiving postoperative care. Br Med J (Clin Res Ed) 1985, 290:1029-1032.
24. Kavey NB, Ahshuler KZ: Sleep in herniorrhaphy patients. Am J Surg 1979, 138:638-647.
25. Rosenberg J, Rosenberg-Adamsen S, Kehlet H: Post-operative sleep disturbances: causes, factors and effects on outcome. Eur J Anaesthesiol 1995, 10(Suppl):28-30.
26. Rosenberg-Adamsen S, Skarbye M, Wildschiodtz G, et al.: Sleep after laparoscopic cholecystectomy. Br J Anaesth 1996, 77:572-575.
27. Knill RL, Moote CA, Skinner MI, et al.: Anesthesia with abdominal surgery leads to intense REM sleep during the first postoperative week. Anesthesiology 1990, 73:52-61.
28. Young T, Evans L, Finn L, et al.: Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle aged men and women. Sleep 1997, 20:705-706.
29. Esclamado RM, Glenn MG, McCulloch TM, et al.: Perioperative complications and risk factors in the surgical treatment of obstructive sleep apnea syndrome. Laryngoscope 1989, 99:1125-1129.
30. Riley RW, Powell NB, Guilleminault C, et al.: Obstructive sleep apnea surgery: risk management and complications. Otolaryngol Head Neck Surg 1997, 117:648-652.
31. Gupta R, Parvizi J, Hanssen A, et al.: Postoperative complications in patients with obstructive sleep apnea undergoing hip or knee replacement: a case-control study. Mayo Clin Proc 2001; 76:897-905.
32. Burgess LP, Derderian SS, Morin GV, et al.: Postoperative risk following uvulopalatopharyngoplasty for obstructive sleep apnea. Otolaryngol Head Neck Surg 1992, 106:81-86.
33. Kravath RE, Pollak CP, Borowiecki B, et al.: Obstructive sleep apnea and death associated with surgical correction of velopharyngeal incompetence. J Pediatr 1980, 96:645-648.
34. Knudsen J: Duration of hypoxemia after uncomplicated upper abdominal and thoraco-abdominal operations. Anaesthesia 1970, 25:372-377.
35. Entwistle MD, Roe PG, Sapsford DJ, et al.: Patterns of oxygenation after thoracotomy. Br J Anaesth 1991, 67:704-711.
36. Reeder MK, Goldman MD, Loh L, et al.: Late postoperative nocturnal dips in oxygen saturation in patients undergoing major abdominal vascular surgery. Predictive value of pre-operative overnight pulse oximetry. Anaesthesia 1992, 47:110-115.
37. Terris DJ, Fincher EF, Hanasono MM, et al.: Conservation of resources: indications for intensive care monitoring after upper airway surgery on patients with obstructive sleep apnea. Laryngoscope 1998, 108:784-788.
38. Rennotte MT, Baele P, Aubert G, et al.: Nasal continuous positive airway pressure in the perioperative management of patients with obstructive sleep apnea submitted to surgery. Chest 1995, 107:367-374.
39. Meoli AL, Rosen CL, Kristo D, et al.: Clinical Practice Review Committee. American Academy of Sleep Medicine. Upper airway management of the adult patient with obstructive sleep apnea in the perioperative period: avoiding complications. Sleep 2003, 26:1060-1065. Timely review of the treatment of patients with obstructive sleep apnea during the perioperative period.
40. Johnson JT, Braun TW: Preoperative, intraoperative, and postoperative management of patients with obstructive sleep apnea syndrome. Otolaryngol Clin North Am 1998, 31:1025-1030.
41. Mehta Y, Manikappa S, Juneja R, et al.: Obstructive sleep apnea syndrome: anesthetic implications in the cardiac surgical patient. J Cardiothorac Vasc Anesth 2000, 14:449-453.
42. Ryan F, Lowe AA, David LI, et al.: Magnetic resonance imaging of the upper airway in obstructive sleep apnea before and after chronic nasal continuous positive airway pressure therapy. Am Rev Respir Dis 1991, 144:939-944.
43. Mallampati SR, Gatt SP, Gugino LD, et al.: A clinical sign to predict difficult tracheal intubation: a prospective study. Can Anaesth Soc J 1985, 32:429-434.
44. Eastwood PR, Szollosi I, Platt PR, et al.: Comparison of upper airway collapse during general anaesthesia and sleep. Lancet 2002, 359:1207-1209. Small study with interesting findings that (1) sleep-disordered breathing can occur after even minor surgical procedures on the limbs and (2) an idea of the severity of sleep-disordered breathing can be obtained during anesthesia.
45. Rosenberg J, Rasmussen GI, Wojdman KR, et al.: Ventilatory pattern and associated episodic hypoxaemia in the late postoperative period in the general surgical ward. Anaesthesia 1999, 54:323-328.
46. Reeder MK, Goldman MD, Loh L, et al.: Postoperative obstructive sleep apnoea: haemodynamic effects of treatment with nasal CPAP. Anesthesia 1991, 46:849-853.
47. Shepard JW Jr: Hypertension, cardiac arrhythmias, myocardial infarction, and stroke in relation to obstructive sleep apnea. Clin Chest Med 1992, 13:437-458.
48. Smith PL, Haponik EF, Bleecker ER: The effects of oxygen in patients with sleep apnea. Am Rev Respir Dis 1984, 130:958-963.
49. Catley DM, Thornton C, Jordan C, et al.: Pronounced, episodic oxygen desaturation in the postoperative period: its association with ventilatory pattern and analgesic regimen. Anesthesiology 1985, 63:20-28.