Diagnosis and management of obstructive sleep apnea in the perioperative setting

Seminars in Respiratory and Critical Care Medicine

Volumn 35, Issue 5, 2014, Pages 571-581

  Lyons, Patrick G ^a   Mokhlesi, Babak ^a  

^a UNIVERSITY OF CHICAGO   (United States)

Author keywords

complications; continuous positive airway pressure; obstructive sleep apnea; perioperative; postoperative; sleep disordered breathing

Indexed keywords

ARTICLE; HUMAN; INTENSIVE CARE UNIT; INTRAOPERATIVE PERIOD; PERIOPERATIVE PERIOD; PEROPERATIVE COMPLICATION; PHYSICIAN; POSTOPERATIVE PERIOD; SCREENING TEST; SLEEP DISORDERED BREATHING; SURGICAL PATIENT; SURGICAL RISK; COMPLICATION; MASS SCREENING; POSTOPERATIVE COMPLICATIONS; PROCEDURES; RISK; SLEEP APNEA, OBSTRUCTIVE;

HUMANS; MASS SCREENING; PERIOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; RISK; SLEEP APNEA, OBSTRUCTIVE;

EID: 84911885625     PISSN: 10693424     EISSN: 10989048     Source Type: Journal    
DOI: 10.1055/s-0034-1390079     Document Type: Article

References (97)

1. Bixler E. O., Vgontzas A. N., Lin H. M., et al. Prevalence of sleep-disordered breathing in women: effects of gender. Am J Respir Crit Care Med: 2001; 163 3, Pt 1 608 613
2. Bixler E. O., Vgontzas A. N., Ten Have T., Tyson K., Kales A. Effects of age on sleep apnea in men: I. Prevalence and severity. Am J Respir Crit Care Med: 1998; 157 1 144 148
3. Durán J., Esnaola S., Rubio R., Iztueta A. Obstructive sleep apnea-hypopnea and related clinical features in a population-based sample of subjects aged 30 to 70 yr. Am J Respir Crit Care Med: 2001; 163 3, Pt 1 685 689
4. 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 Med: 1993; 328 17 1230 1235
5. Young T., Peppard P. E., Gottlieb D. J. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med: 2002; 165 9 1217 1239
6. Peppard P. E., Young T., Barnet J. H., Palta M., Hagen E. W., Hla K. M. Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol: 2013; 177 9 1006 1014
7. Chung F., Yegneswaran B., Liao P., et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology: 2008; 108 5 812 821
8. Fidan H., Fidan F., Unlu M., Ela Y., Ibis A., Tetik L. Prevalence of sleep apnoea in patients undergoing operation. Sleep Breath: 2006; 10 3 161 165
9. Finkel K. J., Searleman A. C., Tymkew H., et al. Prevalence of undiagnosed obstructive sleep apnea among adult surgical patients in an academic medical center. Sleep Med: 2009; 10 7 753 758
10. Ramachandran S. K., Kheterpal S., Consens F., et al. Derivation and validation of a simple perioperative sleep apnea prediction score. Anesth Analg: 2010; 110 4 1007 1015
11. Hallowell P. T., Stellato T. A., Schuster M., et al. Potentially life-threatening sleep apnea is unrecognized without aggressive evaluation. Am J Surg: 2007; 193 3 364 367, discussion 367
12. Pollak L., Shpirer I., Rabey J. M., Klein C., Schiffer J. Polysomnography in patients with intracranial tumors before and after operation. Acta Neurol Scand: 2004; 109 1 56 60
13. Marin J. M., Carrizo S. J., Vicente E., Agusti A. G. 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 1053
14. Peppard P. E., Young T., Palta M., Skatrud J. Prospective study of the association between sleep-disordered breathing and hypertension. N Engl J Med: 2000; 342 19 1378 1384
15. Yaggi H. K., Concato J., Kernan W. N., Lichtman J. H., Brass L. M., Mohsenin V. Obstructive sleep apnea as a risk factor for stroke and death. N Engl J Med: 2005; 353 19 2034 2041
16. Kendzerska T., Gershon A. S., Hawker G., Leung R. S., Tomlinson G. Obstructive sleep apnea and risk of cardiovascular events and all-cause mortality: a decade-long historical cohort study. PLoS Med: 2014; 11 2 e1001599
17. Marshall N. S., Wong K. K., Liu P. Y., Cullen S. R., Knuiman M. W., Grunstein R. R. Sleep apnea as an independent risk factor for all-cause mortality: the Busselton Health Study. Sleep: 2008; 31 8 1079 1085
18. Punjabi N. M., Caffo B. S., Goodwin J. L., et al. Sleep-disordered breathing and mortality: a prospective cohort study. PLoS Med: 2009; 6 8 e1000132
19. Young T., Finn L., Peppard P. E., et al. Sleep disordered breathing and mortality: eighteen-year follow-up of the Wisconsin sleep cohort. Sleep: 2008; 31 8 1071 1078
20. Catley D. M., Thornton C., Jordan C., Lehane J. R., Royston D., Jones J. G. Pronounced, episodic oxygen desaturation in the postoperative period: its association with ventilatory pattern and analgesic regimen. Anesthesiology: 1985; 63 1 20 28
21. Isono S. Obstructive sleep apnea of obese adults: pathophysiology and perioperative airway management. Anesthesiology: 2009; 110 4 908 921
22. Robinson R. W., Zwillich C. W., Bixler E. O., Cadieux R. J., Kales A., White D. P. Effects of oral narcotics on sleep-disordered breathing in healthy adults. Chest: 1987; 91 2 197 203
23. Isono S., Remmers J. E., Tanaka A., Sho Y., Sato J., Nishino T. Anatomy of pharynx in patients with obstructive sleep apnea and in normal subjects. J Appl Physiol (1985): 1997; 82 4 1319 1326
24. Doufas A. G., Tian L., Padrez K. A., et al. Experimental pain and opioid analgesia in volunteers at high risk for obstructive sleep apnea. PLoS ONE: 2013; 8 1 e54807
25. Gislason T., Almqvist M., Boman G., Lindholm C. E., Terenius L. Increased CSF opioid activity in sleep apnea syndrome. Regression after successful treatment. Chest: 1989; 96 2 250 254
26. Hwang J. C., St John W. M., Bartlett D. Jr. Respiratory-related hypoglossal nerve activity: influence of anesthetics. J Appl Physiol: 1983; 55 3 785 792
27. Chung F., Liao P., Elsaid H., Shapiro C. M., Kang W. Factors associated with postoperative exacerbation of sleep-disordered breathing. Anesthesiology: 2014; 120 2 299 311
28. Chung F., Liao P., Yegneswaran B., Shapiro C. M., Kang W. Postoperative changes in sleep-disordered breathing and sleep architecture in patients with obstructive sleep apnea. Anesthesiology: 2014; 120 2 287 298
29. Flink B. J., Rivelli S. K., Cox E. A., et al. Obstructive sleep apnea and incidence of postoperative delirium after elective knee replacement in the nondemented elderly. Anesthesiology: 2012; 116 4 788 796
30. Gupta R. M., Parvizi J., Hanssen A. D., Gay P. C. 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
31. Hwang D., Shakir N., Limann B., et al. Association of sleep-disordered breathing with postoperative complications. Chest: 2008; 133 5 1128 1134
32. Kaw R., Pasupuleti V., Walker E., Ramaswamy A., Foldvary-Schafer N. Postoperative complications in patients with obstructive sleep apnea. Chest: 2012; 141 2 436 441
33. Liao P., Yegneswaran B., Vairavanathan S., Zilberman P., Chung F. Postoperative complications in patients with obstructive sleep apnea: a retrospective matched cohort study. Can J Anaesth: 2009; 56 11 819 828
34. Mador M. J., Goplani S., Gottumukkala V. A., et al. Postoperative complications in obstructive sleep apnea. Sleep Breath: 2013; 17 2 727 734
35. Kaw R., Chung F., Pasupuleti V., Mehta J., Gay P. C., Hernandez A. V. Meta-analysis of the association between obstructive sleep apnoea and postoperative outcome. Br J Anaesth: 2012; 109 6 897 906
36. Memtsoudis S. G., Stundner O., Rasul R., et al. The impact of sleep apnea on postoperative utilization of resources and adverse outcomes. Anesth Analg: 2014; 118 2 407 418
37. Gami A. S., Howard D. E., Olson E. J., Somers V. K. Day-night pattern of sudden death in obstructive sleep apnea. N Engl J Med: 2005; 352 12 1206 1214
38. Chung F., Mokhlesi B. Postoperative complications associated with obstructive sleep apnea: time to wake up! Anesth Analg: 2014; 118 2 251 253
39. Mokhlesi B., Hovda M. D., Vekhter B., Arora V. M., Chung F., Meltzer D. O. Sleep-disordered breathing and postoperative outcomes after elective surgery: analysis of the nationwide inpatient sample. Chest: 2013; 144 3 903 914
40. Mokhlesi B., Hovda M. D., Vekhter B., Arora V. M., Chung F., Meltzer D. O. Sleep-disordered breathing and postoperative outcomes after bariatric surgery: analysis of the nationwide inpatient sample. Obes Surg: 2013; 23 11 1842 1851
41. D'Apuzzo M. R., Browne J. A. Obstructive sleep apnea as a risk factor for postoperative complications after revision joint arthroplasty. J Arthroplasty: 2012; 27 (8, Suppl) 95 98
42. Bucholz E. M., Rathore S. S., Reid K. J., et al. Body mass index and mortality in acute myocardial infarction patients. Am J Med: 2012; 125 8 796 803
43. Carnethon M. R., De Chavez P. J., Biggs M. L., et al. Association of weight status with mortality in adults with incident diabetes. JAMA: 2012; 308 6 581 590
44. Jackson R. S., Black J. H. III, Lum Y. W., et al. Class I obesity is paradoxically associated with decreased risk of postoperative stroke after carotid endarterectomy. J Vasc Surg: 2012; 55 5 1306 1312
45. Martino J. L., Stapleton R. D., Wang M., et al. Extreme obesity and outcomes in critically ill patients. Chest: 2011; 140 5 1198 1206
46. Memtsoudis S. G., Bombardieri A. M., Ma Y., Walz J. M., Chiu Y. L., Mazumdar M. Mortality of patients with respiratory insufficiency and adult respiratory distress syndrome after surgery: the obesity paradox. J Intensive Care Med: 2012; 27 5 306 311
47. Chang V. W., Asch D. A., Werner R. M. Quality of care among obese patients. JAMA: 2010; 303 13 1274 1281
48. Doehner W., Clark A., Anker S. D. The obesity paradox: weighing the benefit. Eur Heart J: 2010; 31 2 146 148
49. Hastie C. E., Padmanabhan S., Slack R., et al. Obesity paradox in a cohort of 4880 consecutive patients undergoing percutaneous coronary intervention. Eur Heart J: 2010; 31 2 222 226
50. Oreopoulos A., McAlister F. A., Kalantar-Zadeh K., et al. The relationship between body mass index, treatment, and mortality in patients with established coronary artery disease: a report from APPROACH. Eur Heart J: 2009; 30 21 2584 2592
51. Schenkeveld L., Magro M., Oemrawsingh R. M., et al. The influence of optimal medical treatment on the 'obesity paradox', body mass index and long-term mortality in patients treated with percutaneous coronary intervention: a prospective cohort study. BMJ Open: 2012; 2 e000535
52. Berger S., Aronson D., Lavie P., Lavie L. Endothelial progenitor cells in acute myocardial infarction and sleep-disordered breathing. Am J Respir Crit Care Med: 2013; 187 1 90 98
53. Lavie L., Lavie P. Ischemic preconditioning as a possible explanation for the age decline relative mortality in sleep apnea. Med Hypotheses: 2006; 66 6 1069 1073
54. Lavie L., Lavie P. Coronary collateral circulation in sleep apnea: a cardioprotective mechanism? Chest: 2010; 137 3 511 512
55. Ozeke O., Ozer C., Gungor M., Celenk M. K., Dincer H., Ilicin G. Chronic intermittent hypoxia caused by obstructive sleep apnea may play an important role in explaining the morbidity-mortality paradox of obesity. Med Hypotheses: 2011; 76 1 61 63
56. Shah N., Redline S., Yaggi H. K., et al. Obstructive sleep apnea and acute myocardial infarction severity: ischemic preconditioning? Sleep Breath: 2013; 17 2 819 826
57. Steiner S., Schueller P. O., Schulze V., Strauer B. E. Occurrence of coronary collateral vessels in patients with sleep apnea and total coronary occlusion. Chest: 2010; 137 3 516 520
58. Fleischut P. M., Mazumdar M., Memtsoudis S. G. Perioperative database research: possibilities and pitfalls. Br J Anaesth: 2013; 111 4 532 534
59. Lockhart E. M., Willingham M. D., Abdallah A. B., et al. Obstructive sleep apnea screening and postoperative mortality in a large surgical cohort. Sleep Med: 2013; 14 5 407 415
60. Campos-Rodriguez F., Martinez-Garcia M. A., de la Cruz-Moron I., Almeida-Gonzalez C., Catalan-Serra P., Montserrat J. M. Cardiovascular mortality in women with obstructive sleep apnea with or without continuous positive airway pressure treatment: a cohort study. Ann Intern Med: 2012; 156 2 115 122
61. American Society of Anesthesiologists Task Force on Perioperative Management of patients with obstructive sleep apnea Practice guidelines for the perioperative management of patients with obstructive sleep apnea: an updated report by the American Society of Anesthesiologists Task Force on Perioperative Management of patients with obstructive sleep apnea. Anesthesiology: 2014; 120 2 268 286
62. Chung F., Yegneswaran B., Liao P., et al. Validation of the Berlin questionnaire and American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients. Anesthesiology: 2008; 108 5 822 830
63. Abrishami A., Khajehdehi A., Chung F. A systematic review of screening questionnaires for obstructive sleep apnea. Can J Anaesth: 2010; 57 5 423 438
64. Senthilvel E., Auckley D., Dasarathy J. Evaluation of sleep disorders in the primary care setting: history taking compared to questionnaires. J Clin Sleep Med: 2011; 7 1 41 48
65. Chung F., Chau E., Yang Y., Liao P., Hall R., Mokhlesi B. Serum bicarbonate level improves specificity of STOP-Bang screening for obstructive sleep apnea. Chest: 2013; 143 5 1284 1293
66. Farney R. J., Walker B. S., Farney R. M., Snow G. L., Walker J. M. The STOP-Bang equivalent model and prediction of severity of obstructive sleep apnea: relation to polysomnographic measurements of the apnea/hypopnea index. J Clin Sleep Med: 2011; 7 5 459 65B
67. Chung F., Subramanyam R., Liao P., Sasaki E., Shapiro C., Sun Y. High STOP-Bang score indicates a high probability of obstructive sleep apnoea. Br J Anaesth: 2012; 108 5 768 775
68. Guralnick A. S., Pant M., Minhaj M., Sweitzer B. J., Mokhlesi B. CPAP adherence in patients with newly diagnosed obstructive sleep apnea prior to elective surgery. J Clin Sleep Med: 2012; 8 5 501 506
69. Ramachandran S. K., Josephs L. A. A meta-analysis of clinical screening tests for obstructive sleep apnea. Anesthesiology: 2009; 110 4 928 939
70. Chung F., Liao P., Elsaid H., Islam S., Shapiro C. M., Sun Y. Oxygen desaturation index from nocturnal oximetry: a sensitive and specific tool to detect sleep-disordered breathing in surgical patients. Anesth Analg: 2012; 114 5 993 1000
71. Cartwright R. D. Effect of sleep position on sleep apnea severity. Sleep: 1984; 7 2 110 114
72. Cartwright R. D., Diaz F., Lloyd S. The effects of sleep posture and sleep stage on apnea frequency. Sleep: 1991; 14 4 351 353
73. Cartwright R. D., Lloyd S., Lilie J., Kravitz H. Sleep position training as treatment for sleep apnea syndrome: a preliminary study. Sleep: 1985; 8 2 87 94
74. George C. F., Millar T. W., Kryger M. H. Sleep apnea and body position during sleep. Sleep: 1988; 11 1 90 99
75. Phillips B. A., Okeson J., Paesani D., Gilmore R. Effect of sleep position on sleep apnea and parafunctional activity. Chest: 1986; 90 3 424 429
76. Itasaka Y., Miyazaki S., Ishikawa K., Togawa K. The influence of sleep position and obesity on sleep apnea. Psychiatry Clin Neurosci: 2000; 54 3 340 341
77. Reeder M. K., Goldman M. D., Loh L., Muir A. D., Casey K. R., Lehane J. R. 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 2 110 115
78. Taenzer A. H., Pyke J. B., McGrath S. P., Blike G. T. Impact of pulse oximetry surveillance on rescue events and intensive care unit transfers: a before-and-after concurrence study. Anesthesiology: 2010; 112 2 282 287
79. Somers V. K., White D. P., Amin R., et al. Sleep apnea and cardiovascular disease: an American Heart Association/American College of Cardiology Foundation Scientific Statement from the American Heart Association Council for High Blood Pressure Research Professional Education Committee, Council on Clinical Cardiology, Stroke Council, and Council on Cardiovascular Nursing. J Am Coll Cardiol: 2008; 52 8 686 717
80. Marin J. M., Agusti A., Villar I., et al. Association between treated and untreated obstructive sleep apnea and risk of hypertension. JAMA: 2012; 307 20 2169 2176
81. Patel S. R., White D. P., Malhotra A., Stanchina M. L., Ayas N. T. Continuous positive airway pressure therapy for treating sleepiness in a diverse population with obstructive sleep apnea: results of a meta-analysis. Arch Intern Med: 2003; 163 5 565 571
82. Squadrone V., Coha M., Cerutti E., et al. Piedmont Intensive Care Units Network (PICUN). Continuous positive airway pressure for treatment of postoperative hypoxemia: a randomized controlled trial. JAMA: 2005; 293 5 589 595
83. Ferreyra G. P., Baussano I., Squadrone V., et al. Continuous positive airway pressure for treatment of respiratory complications after abdominal surgery: a systematic review and meta-analysis. Ann Surg: 2008; 247 4 617 626
84. Liao P., Luo Q., Elsaid H., Kang W., Shapiro C. M., Chung F. Perioperative auto-titrated continuous positive airway pressure treatment in surgical patients with obstructive sleep apnea: a randomized controlled trial. Anesthesiology: 2013; 119 4 837 847
85. Mehta V., Subramanyam R., Shapiro C. M., Chung F. Health effects of identifying patients with undiagnosed obstructive sleep apnea in the preoperative clinic: a follow-up study. Can J Anaesth: 2012; 59 6 544 555
86. Neligan P. J., Malhotra G., Fraser M., et al. Continuous positive airway pressure via the Boussignac system immediately after extubation improves lung function in morbidly obese patients with obstructive sleep apnea undergoing laparoscopic bariatric surgery. Anesthesiology: 2009; 110 4 878 884
87. Kushida C. A., Berry R. B., Blau A., et al. Positive airway pressure initiation: a randomized controlled trial to assess the impact of therapy mode and titration process on efficacy, adherence, and outcomes. Sleep: 2011; 34 8 1083 1092
88. Masa J. F., Jiménez A., Durán J., et al. Alternative methods of titrating continuous positive airway pressure: a large multicenter study. Am J Respir Crit Care Med: 2004; 170 11 1218 1224
89. Mulgrew A. T., Fox N., Ayas N. T., Ryan C. F. Diagnosis and initial management of obstructive sleep apnea without polysomnography: a randomized validation study. Ann Intern Med: 2007; 146 3 157 166
90. O'Gorman S. M., Gay P. C., Morgenthaler T. I. Does autotitrating positive airway pressure therapy improve postoperative outcome in patients at risk for obstructive sleep apnea syndrome? A randomized controlled clinical trial. Chest: 2013; 144 1 72 78
91. Mokhlesi B. Empiric postoperative autotitrating positive airway pressure therapy: generating evidence in the perioperative care of patients at risk for obstructive sleep apnea. Chest: 2013; 144 1 5 7
92. Kribbs N. B., Pack A. I., Kline L. R., et al. Objective measurement of patterns of nasal CPAP use by patients with obstructive sleep apnea. Am Rev Respir Dis: 1993; 147 4 887 895
93. Pamidi S., Knutson K. L., Ghods F., Mokhlesi B. The impact of sleep consultation prior to a diagnostic polysomnogram on continuous positive airway pressure adherence. Chest: 2012; 141 1 51 57
94. Sawyer A. M., Gooneratne N. S., Marcus C. L., Ofer D., Richards K. C., Weaver T. E. A systematic review of CPAP adherence across age groups: clinical and empiric insights for developing CPAP adherence interventions. Sleep Med Rev: 2011; 15 6 343 356
95. Memtsoudis S. G., Besculides M. C., Mazumdar M. A rude awakening-the perioperative sleep apnea epidemic. N Engl J Med: 2013; 368 25 2352 2353
96. Chan M. T., Wang C. Y., Seet E., et al. POSA Investigators. Postoperative vascular complications in unrecognised Obstructive Sleep apnoea (POSA) study protocol: an observational cohort study in moderate-to-high risk patients undergoing non-cardiac surgery. BMJ Open: 2014; 4 1 e004097
97. Memtsoudis S., Liu S. S., Ma Y., et al. Perioperative pulmonary outcomes in patients with sleep apnea after noncardiac surgery. Anesth Analg: 2011; 112 1 113 121