Anesthetic considerations of parturients with obesity and obstructive sleep apnea

Journal of Anaesthesiology Clinical Pharmacology

Volumn 28, Issue 4, 2012, Pages 436-443

  Ankichetty, Saravanan ^a   Angle, Pam ^a   Joselyn, Anita ^b   Chinnappa, Vinod ^a   Halpern, Stephen ^a  

^a UNIVERSITY OF TORONTO   (Canada)

^b CHRISTIAN MEDICAL COLLEGE   (India)

Author keywords

Obesity; obstructive sleep apnea management; perioperative period; pregnancy

Indexed keywords

DIHYDROMORPHINE; ESTROGEN; FENTANYL; MORPHINE; NONSTEROID ANTIINFLAMMATORY AGENT; OPIATE DERIVATIVE; PETHIDINE; PROGESTERONE;

ACCIDENTAL INJURY; AIRWAY RESISTANCE; ANESTHESIA INDUCTION; ANESTHESIST; BIRTH INJURY; BODY POSITION; CATHETER COMPLICATION; CESAREAN SECTION; COHORT ANALYSIS; CONGENITAL MALFORMATION; DISEASE ASSOCIATION; DISEASE SEVERITY; DRUG INFUSION; ELECTIVE SURGERY; EPIDURAL ANESTHESIA; EPIDURAL CATHETER; EPIDURAL SPACE; FETUS DISEASE; GENERAL ANESTHESIA; HIGH RISK POPULATION; HUMAN; LOW DRUG DOSE; MATERNAL HYPERTENSION; MATERNAL MORBIDITY; NEEDLE; OBESITY; OBSTETRIC ANALGESIA; OBSTETRIC ANESTHESIA; PATIENT ASSESSMENT; PERIOPERATIVE PERIOD; POSITIVE END EXPIRATORY PRESSURE; POSTDURAL PUNCTURE HEADACHE; POSTOPERATIVE CARE; PREECLAMPSIA; PREGNANCY COMPLICATION; PREOPERATIVE EVALUATION; PREOPERATIVE TREATMENT; PREVALENCE; PROSPECTIVE STUDY; REGIONAL ANESTHESIA; RETROSPECTIVE STUDY; REVIEW; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY; SLEEP DISORDERED BREATHING; TREATMENT OUTCOME; VAGINAL DELIVERY;

EID: 84869790465     PISSN: 09709185     EISSN: 22312730     Source Type: Journal    
DOI: 10.4103/0970-9185.101895     Document Type: Review

References (46)

1. Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle aged adults. N Engl J Med1993;328:1230-5
2. Young T, Evans L, Finn L, Palta M. Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women. Sleep1997;20:705-6
3. Franklin KA, Holmgren PA, Jonsson F, Poromaa N, Stenlund H, Svanborg E. Snoring, pregnancy-induced hypertension, and growth retardation of the fetus. Chest 2000;117:137-41
4. Sahin FK, Koken G, Cosar E, Saylan F, Fidan F, Yilmazer M,et al. Obstructive sleep apnea in pregnancy and fetal outcome. Int J Gynaecol Obstet 2008;100:141-6
5. Isono S. Obesity and obstructive sleep apnoea: Mechanisms for increased collapsibility of the passive pharyngeal airway. Respirology 2012;17:32-42
6. Kapsimalis F, Kryger M. Sleep breathing disorders in the U.S. female population. J Women's Health (Larchmt) 2009;18:1211-9
7. Elkus R, Popovich J Jr. Respiratory physiology in pregnancy. Clin Chest Med 1992;13:555-65
8. Contreras G, Gutierrez M, Beroiza T, Fantín A, Oddó H, Villarroel L, et al. Ventilatory drive and respiratory muscle function in pregnancy. Am Rev Respir Dis 1991;144:837-41
9. White DP. Pathogenesis of obstructive and central sleep apnea. Am J Respir Crit Care Med 2005;172:1363-70
10. Mandal D, Mandal S,Rakshi A, Dey RP, Biswas SC, Banerjee A. Maternal obesity and pregnancy outcome: A prospective analysis. J Assoc Physicians India 2011;59:486-9
11. Yinon D, Lowenstein L, Suraya S, Beloosesky R, Zmora O, Malhotra A, et al. Pre-eclampsia is associated with sleep disordered breathing and endothelial dysfunction. Eur Respir J 2006;27:328-33
12. Olivarez SA, Maheshwari B, McCarthy M, Zacharias N, van den Veyyer I, Castur L,et al. Prospective trial on obstructive sleep apnea in pregnancy and fetal heart rate monitoring. Am J Obstet Gynecol2010;202:552.e1-7
13. Silverberg DS, Iaina A, Oksenberg A. Treating obstructive sleep apnea improves essential hypertension and quality of life. Am Fam Physician 2002;65:229-36
14. Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin questionnaire to identify patients at risk for the sleep apnea syndrome. Ann Intern Med 1999;131:485-91
15. Abirashmi A, Khajehdehi A, Chung F.A systematic review of screening questionnaires for obstructive sleep apnea. Can J Anaesth 2010;57:423-38
16. Santiago JR, Nolledo MS, Kinzler W, Santiago TV.Sleep and sleep disorders in pregnancy. Ann Intern Med 2001;134:396-408
17. Giles TL, Lasserson TJ, Smith BH, White J, Wright J, Cates CJ. Continuous positive airways pressure for obstructive sleep apnoea in adults. Cochrane Database Syst Rev2006;3:CD001106
18. Bazzano LA, Khan Z, Reynolds K, He J. Effect of nocturnal nasal continuous positive airway pressure on blood pressure in obstructive sleep apnea. Hypertension2007;50:417-23
19. Poyares D, Guilleminault C, Hachul H, Fujita L, TakaokaS, Tufik S, et al. Pre-eclampsia and nasal CPAP: Part 2.Hypertension during pregnancy, chronic snoring, and early nasal CPAP intervention. Sleep Med2007;9:15-21
20. von DP, Ornstein MP, Bull SB, Logan AG, Koren G, Magee LA. Fall in mean arterial pressure and fetal growth restriction in pregnancy hypertension: A meta-analysis. Lancet 2000;355:87-92
21. Guilleminault C, Kreutzer M, Chang JL. Pregnancy, sleep disordered breathing and treatment with nasal continuous positive airway pressure. Sleep Med2004;5:43-51
22. Guilleminault C, PalombiniL, Poyares D, Takaoka S, Huynh NT, El- Sayed Y. Pre-eclampsia and nasal CPAP: Part 1.Early intervention with nasal CPAP in pregnant women with risk-factors for preeclampsia: Preliminary findings. Sleep Med2007;9:9-14
23. Saravanakumar K, Rao SG, Cooper GM. Obesity and obstetric anaesthesia. Anaesthesia2006;61:36-48
24. Munnur U, de Boisblanc B, Suresh MS. Airway problems in pregnancy. Crit Care Med 2005;33:S259-68
25. Juvin P, Lavaut E, Dupont H, Lefevre P, Demetriou M, Dumoulin JL, et al. Difficult tracheal intubation is more common in obese than lean patients. Anesth Analg 2003;97:595-600
26. Gross JB, Bachenberg KL, Benumof JL, Caplan RA, Connis RT, Coté CJ,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;104:1081-93;quiz 1117-8
27. Hess PE, Pratt SD, Lucas TP, Miller CG, Corbett T, Oriol N,et al. Predictors of breakthrough pain during labor epidural analgesia. Anesth Analg 2001;93:414-8
28. Melzack R, Kinch R, Dobkin P,Lebrun M, Taenzer P. Severity of labour pain: Influence of physical as well as psychologic variables. Can Med Assoc J 1984;130:579-84
29. Badve M, Shah T, Jones-Ivy S, Vallejo MC. Ultrasound guided epidural analgesia for labor in a patient with an intrathecal baclofen pump. Int J Obstet Anesth. 2011; 20:370-2
30. Soens MA, Birnbach DJ, Ranasinghe JS, van Zundert A.Obstetric anesthesia for the obese and morbidly obese patient: An ounce of prevention is worth more than a pound of treatment. Acta Anaesthesiol Scand 2008;52:6-19
31. Hamza J, Smida M, Benhamou D, Cohen SE. Parturient's posture during epidural puncture affects the distance from skin to epidural space. J Clin Anesth 1995;7:1-4
32. Watts RW. The influence of obesity on the relationship between body mass index and the distance to the epidural space from the skin. Anaesth Intensive Care1993;21:309-10
33. Balki M, Lee Y, Halpern S, Carvalho JC.Ultrasound imaging of the lumbar spine in the transverse plane: Correlation between estimated and actual depth to the epidural space in obese parturients. Anesth Analg 2009;108:1876-81
34. Faheem M, Sarwar N. Sliding of the skin over subcutaneous tissue is another important factor in epidural catheter migration. Can J Anesth 2002;49:634
35. Iwama H, Katayama T. Back skin movement also causes 'walking' epidural catheter. J Clin Anesth 1999;11:140-1
36. Hamilton CL, Riley ET, Cohen SE. Changes in the position of epidural catheters associated with patient movement. Anesthesiology 1997;86:778-84
37. Eappen S, Blinn A, Segal S. Incidence of epidural catheter replacement in parturients: A retrospective chartreview. Int J Obstet Anesth 1998;7:220-5
38. Riley ET, Papasin J. Epidural catheter function during labor predicts anesthetic efficacy for subsequent cesarean delivery. Int J Obstet Anesth 2002;11:81-4
39. Perlow JH, Morgan MA. Massive maternal obesity and perioperative cesarean morbidity. Am J Obstet Gynecol 1994;170:560-5
40. Hood DD, Dewan DM, Kashtan K. Anesthesia outcome in the morbidly obese parturient. Anesthesiology 1993;79:1210-8
41. Faure E, Moreno R, Thisted R. Incidence of postdural puncture headache in morbidly obese parturients. Reg Anesth 1994;19:361-3
42. Hogan QH, Prost R, Kulier A, Taylor ML, Liu S, Mark L. Magnetic resonance imaging of cerebrospinal fluid volume and the influence of body habitus and abdominal pressure. Anesthesiology 1996;84:1341-9
43. Hodgkinson R, Husain FJ. Obesity and the cephalad spread of analgesia following epidural administration of bupivacaine for Cesarean section. Anesth Analg 1980;59:89-92
44. Collins JS, Lemmens HJ, Brodsky JB, Brock-Utne JG, Levitan RM. Laryngoscopy and morbid obesity: A comparison of the sniff and ramped position. Obes Surg 2004;14:1171-5
45. Hofer RE, Sprung J, Sarr MG, Wedel DJ.Anesthesia for a Patient with Morbid Obesity using Dexmedetomidine without Narcotics. Can J Anaesth 2005;52:176-80
46. Eslamian L, Jalili Z, Jamal A, Marsoosi V, Movafegh A. Transversus abdominis plane block reduces postoperative pain intensity and analgesic consumption in elective cesarean delivery under general anesthesia. J Anesth 2012; 26:334-8.