Sitting posture decreases collapsibility of the passive pharynx in anesthetized paralyzed patients with obstructive sleep apnea

Anesthesiology

Volumn 113, Issue 4, 2010, Pages 812-818

  Tagaito, Yugo ^a   Isono, Shiroh ^b   Tanaka, Atsuko ^a   Ishikawa, Teruhiko ^a   Nishino, Takashi ^b  

^a TEIKYO UNIVERSITY CHIBA MEDICAL CENTER   (Japan)

^b CHIBA UNIVERSITY   (Japan)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AIRWAY PRESSURE; ANESTHESIA INDUCTION; ARTICLE; CLINICAL ARTICLE; COMPARATIVE STUDY; ENDOSCOPY; GENERAL ANESTHESIA; HUMAN; LUNG VOLUME; MALE; PRIORITY JOURNAL; SITTING; SLEEP APNEA SYNDROME; SUPINE POSITION; ANATOMY; BIOMECHANICS; BODY POSTURE; CHEMICALLY INDUCED DISORDER; HISTOLOGY; MIDDLE AGED; PALATE; PARALYSIS; PATHOPHYSIOLOGY; PHARYNX; PHYSIOLOGY; PRESSURE;

ADULT; ANATOMY, CROSS-SECTIONAL; ANESTHESIA, GENERAL; BIOMECHANICS; HUMANS; MALE; MIDDLE AGED; PALATE; PARALYSIS; PHARYNX; POSTURE; PRESSURE; SLEEP APNEA, OBSTRUCTIVE; UVULA;

EID: 77957908455     PISSN: 00033022     EISSN: 15281175     Source Type: Journal    
DOI: 10.1097/ALN.0b013e3181f1b834     Document Type: Article

References (32)

1. Isono S: Obstructive sleep apnea of obese adults: Pathophysiology and perioperative airway management. ANESTHESIOLOGY 2009; 110:908-921
2. Langeron O, Masso E, Huraux C, Guggiari M, Bianchi A, Coriat P, Riou B: Prediction of difficult mask ventilation. ANESTHESIOLOGY 2000; 92:1229-1236
3. Kheterpal S, Martin L, Shanks AM, Tremper KK: Prediction and outcomes of impossible mask ventilation: A review of 50,000 anesthetics. ANESTHESIOLOGY 2009; 110:891-897
4. McEvoy RD, Sharp DJ, Thornton AT: The effects of posture on obstructive sleep apnea. Am Rev Respir Dis 1986; 133:662-666
5. Yildirim N, Fitzpatrick MF, Whyte KF, Jalleh R, Wightman AJ, Douglas NJ: The effect of posture on upper airway dimensions in normal subjects and in patients with the sleep apnea/hypopnea syndrome. Am Rev Respir Dis 1991; 144:845-847
6. Pracharktam N, Hans MG, Strohl KP, Redline S: Upright and supine cephalometric evaluation of obstructive sleep apnea syndrome and snoring subjects. Angle Orthod 1994; 64:63-73
7. Pae EK, Lowe AA, Sasaki K, Price C, Tsuchiya M, Fleetham JA: A cephalometric and electromyographic study of upper airway structures in the upright and supine positions. Am J Orthod Dentofacial Orthop 1994; 106:52-59
8. Miyamoto K, Ozbek MM, Lowe AA, Fleetham JA: Effect of body position on tongue posture in awake patients with obstructive sleep apnoea. Thorax 1997; 52:255-259
9. Tsuiki S, Almeida FR, Bhalla PS, A Lowe AA, Fleetham JA: Supine-dependent changes in upper airway size in awake obstructive sleep apnea patients. Sleep Breath 2003; 7:43-50
10. Martin SE, Marshall I, Douglas NJ: The effect of posture on airway caliber with the sleep-apnea/hypopnea syndrome. Am J Respir Crit Care Med 1995; 152:721-724
11. 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: 199-204
12. Isono S, Remmers JE, Tanaka A, Sho Y, Sato J, Nishino T: Anatomy of pharynx in patients with obstructive sleep apnea and in normal subjects. J Appl Physiol 1997; 82: 1319-1326
13. Tagaito Y, Isono S, Remmers JE, Tanaka A, Nishino T: Lung volume and collapsibility of the passive pharynx in patients with sleep-disordered breathing. J Appl Physiol 2007; 103:1379-1385
14. Isono S, Tanaka A, Nishino T: Lateral position decreases collapsibility of the passive pharynx in patients with obstructive sleep apnea. ANESTHESIOLOGY 2002; 97:780-785
15. Isono S, Tanaka A, Tagaito Y, Ishikawa T, Nishino T: Influences of head positions and bite opening on collapsibility of the passive pharynx. J Appl Physiol 2004; 97: 339-346
16. Isono S, Shimada A, Tanaka A, Tagaito Y, Utsugi M, Konno A, Nishino T: Efficacy of endoscopic static pressure/area assessment of the passive pharynx in predicting uvulopalatopharyngoplasty outcomes. Laryngoscope 1999; 109:769-774
17. Gyulay S, Olson LG, Hensley MJ, King MT, Allen KM, Saunders NA: A comparison of clinical assessment and home oximetry in the diagnosis of obstructive sleep apnea. Am Rev Respir Dis 1993; 147:50-53
18. Isono S, Shimada A, Utsugi M, Konno A, Nishino T: Comparison of static mechanical properties of the passive pharynx between normal children and children with sleep-disordered breathing. Am J Respir Crit Care Med 1998; 157:1204-1212
19. Ikeda H, Ayuse T, Oi K: The effects of head and body positioning on upper airway collapsibility in normal subjects who received midazolam sedation. J Clin Anesth 2006; 18:185-193
20. Watanabe T, Isono S, Tanaka A, Tanzawa H, Nishino T: Contribution of body habitus and craniofacial characteristics to segmental closing pressures of the passive pharynx in patients with sleep-disordered breathing. Am J Respir Crit Care Med 2002; 165:260-265
21. Tsuiki S, Isono S, Ishikawa T, Yamashiro Y, Tatsumi K, Nishino T: Anatomical balance of the upper airway and obstructive sleep apnea. ANESTHESIOLOGY 2008; 108:1009-1015
22. Tsai WH, Remmers JE, Brant R, Flemons WW, Davies J, Macarthur C: A decision rule for diagnostic testing in obstructive sleep apnea. Am J Respir Crit Care Med 2003; 167:1427-1432
23. Suzuki N, Isono S, Ishikawa T, Kitamura Y, Takai Y, Nishino T: Submandible angle in nonobese patients with difficult tracheal intubation. ANESTHESIOLOGY 2007; 106: 916-923
24. Beaumont M, Fodil R, Isabey D, Lofaso F, Touchard D, Harf A, Louis B: Gravity effects on upper airway area and lung volumes during parabolic flight. J Appl Physiol 1998; 84: 1639-1645
25. Redolfi S, Yumino D, Ruttanaumpawan P, Yau B, Su MC, Lam J, Bradley TD: Relationship between overnight rostral fluid shift and Obstructive Sleep Apnea in nonobese men. Am J Respir Crit Care Med 2009; 179:241-246
26. Heinzer RC, Stanchina ML, Malhotra A, Fogel RB, Patel SR, Jordan AS, Schory K, White DP: Lung volume and continuous positive airway pressure requirements in obstructive sleep apnea. Am J Respir Crit Care Med 2005; 172:114-117
27. Valenza F, Vagginelli F, Tiby A, Francesconi S, Ronzoni G, Guglielmi M, Zappa M, Lattuada E, Gattinoni L: Effects of the beach chair position, positive end-expiratory pressure, and pneumoperitoneum on respiratory function in morbidly obese patients during anesthesia and paralysis. ANESTHESIOLOGY 2007; 107:725-732
28. Dixon BJ, Dixon JB, Carden JR, Burn AJ, Schachter LM, Playfair JM, Laurie CP, O'Brien PE: Preoxygenation is more effective in the 25 degrees head-up position than in the supine position in severely obese patients: A randomized controlled study. ANESTHESIOLOGY 2005; 102:1110-5; discussion 5A
29. Isono S: Optimal combination of head, mandible and body positions for pharyngeal airway maintenance during perioperative period: Lesson from pharyngeal closing pressures. Semin Anesth Perioperat Med Pain 2007; 26:83-93
30. Isono S: One hand, two hands, or no hands for maximizing airway maneuvers? ANESTHESIOLOGY 2008; 109:576-577
31. Pohl A, Cullen DJ: Cerebral ischemia during shoulder surgery in the upright position: A case series. J Clin Anesth 2005; 17:463-469
32. Mazzon D, Danelli G, Poole D, Marchini C, Bianchin C: Beach chair position, general anesthesia and deliberated hypotension during shoulder surgery: A dangerous combination! Minerva Anestesiol 2009; 75:281-282