Obstructive sleep apnea: Preoperative screening and postoperative care

Journal of the American Board of Family Medicine

Volumn 29, Issue 2, 2016, Pages 263-275

  Wolfe, Robert M ^a,b   Pomerantz, Jonathan ^a,b   Miller, Deborah E ^b,c   Weiss Coleman, Rebecca ^a,b   Solomonides, Tony ^a  

^a NORTHSHORE UNIVERSITY HEALTHSYSTEM   (United States)

^b UNIVERSITY OF CHICAGO   (United States)

^c UNIVERSITY OF CHICAGO   (United States)

Author keywords

Obstructive sleep apnea; Opioids; Pediatrics; Respiratory failure; Respiratory tract diseases; Screening; Sleep disorders; Snoring; Surgery

Indexed keywords

HYDROMORPHONE; NARCOTIC AGENT; SEDATIVE AGENT; HYPNOTIC SEDATIVE AGENT;

APNEA; CLINICAL FEATURE; ELECTIVE SURGERY; HEART ARREST; HOSPITAL BED; HUMAN; HYPERCAPNIA; HYPOXIA; INCIDENCE; MORBIDITY; MORTALITY; PATHOPHYSIOLOGY; POSITIVE END EXPIRATORY PRESSURE; POSTOPERATIVE CARE; POSTOPERATIVE PERIOD; PREOPERATIVE EVALUATION; QUESTIONNAIRE; REM SLEEP; RESPIRATION DEPRESSION; RESPIRATORY FAILURE; REVIEW; SCREENING; SLEEP DISORDERED BREATHING; ADENOID; ADULT; CHILD; COMPLICATION; GENERAL ANESTHESIA; HYPERTROPHY; OXIMETRY; PALATINE TONSIL; PATHOLOGY; PATIENT POSITIONING; POSTOPERATIVE COMPLICATION; PRACTICE GUIDELINE; PREOPERATIVE CARE; RISK FACTOR; SNORING;

ADENOIDS; ADULT; ANESTHESIA, GENERAL; CHILD; HUMANS; HYPERTROPHY; HYPNOTICS AND SEDATIVES; NARCOTICS; OXIMETRY; PALATINE TONSIL; PATIENT POSITIONING; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; PRACTICE GUIDELINES AS TOPIC; PREOPERATIVE CARE; RESPIRATORY INSUFFICIENCY; RISK FACTORS; SLEEP APNEA, OBSTRUCTIVE; SNORING; SURVEYS AND QUESTIONNAIRES;

EID: 84962492761     PISSN: 15572625     EISSN: 15587118     Source Type: Journal    
DOI: 10.3122/jabfm.2016.02.150085     Document Type: Review

References (70)

1. Colten HR, Altevogt BM, eds. Sleep disorders and sleep deprivation: an unmet public health problem. Washington, DC: Committee on Sleep Medicine and Research, Institute of Medicine/National Academies Press; 2006.
2. Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM. Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol 2013;177:1006-14.
3. Kaw R, Chung F, Pasupuleti V, Mehta J, Gay PC, Hernandez AV. Meta-analysis of the association between obstructive sleep apnoea and postoperative outcome. Br J Anaesth 2012;109:897-906.
4. Lyons P, Mokhlesi B. Diagnosis and management of obstructive sleep apnea in the perioperative setting. Semin Respir Crit Care Med 2014;35:571-81.
5. Adesanya AO, Lee W, Greilich NB, Joshi GP. Perioperative management of obstructive sleep apnea. Chest 2010;138:1489-98.
6. Grover M, Mookadam M, Armas D, et al. Identifying patients at risk for obstructive sleep apnea in a primary care practice. J Am Board Fam Med 2011;24:152-60.
7. Gross JB, Apfelbaum JL, Caplan RA, et al. 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;120:268-86.
8. Joshi GP, Ankichetty SP, Gan TJ, Chung FM. Society for Ambulatory Anesthesia consensus statement on preoperative selection of adult patients with obstructive sleep apnea scheduled for ambulatory surgery. Anesth Analg 2012;115:1060-8.
9. Grigg P, Lickteig C. Perioperative screening for obstructive sleep apnea. Am Fam Physician 2002;66:958, 963-4.
10. Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea. Am J Respir Crit Care Med 2002;165:1217-39.
11. Krieger J, McNicholas WT, Levy P, et al. Public health and medicolegal implications of sleep apnoea. Eur Respir J 2002;20:1594-609.
12. Marcus CL, Brooks LJ, Ward SD, et al. Technical report: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics 2012;130:e714-55.
13. Coté CJ. Anesthesiological considerations for children with obstructive sleep apnea. Curr Opin Anaesthesiol 2015;28:327-32.
14. Schwengel DA, Dalesio NM, Stierer TL. Pediatric obstructive sleep apnea. Anesthesiol Clin 2014;32:237-61.
15. Verhulst S, Kaditis A. Obstructive sleep apnoea in children. Breathe 2011;7:240-7.
16. Alexander NS, Schroeder JW Jr. Pediatric obstructive sleep apnea syndrome. Pediatr Clin North Am 2013;60:827-40.
17. Carroll JL, McColley SA, Marcus CL, Curtis S, Loughlin GM. Inability of clinical history to distinguish primary snoring from obstructive sleep apnea syndrome in children. Chest 1995;108:610-8.
18. Centers for Medicare & Medicaid Services. National coverage determination (NCD) for continuous positive airway pressure (CPAP) therapy for obstructive sleep apnea (OSA) (240.4). 2008. Available from: https://www.cms.gov/Medicare/Coverage/Coveragewith-Evidence-Development/Continuous-Positive-Airway-Pressure-CPAP-Therapy-For-Obstructive-Sleep-Apnea-OSA-2404.html. Accessed February 9, 2016.
19. Qaseem A, Dallas P, Owens DK, Starkey M, Holty J-EC, Shekelle P. Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med 2014;161:210-20.
20. Berry RB, Budhiraja R, Gottlieb DJ, et al. Rules for scoring respiratory events in sleep: update of the 2007 AASM manual for the scoring of sleep and associated events. J Clin Sleep Med 2012;8:597-619.
21. Fouladpour N, Jesudoss R, Bolden N, Shaman Z, Auckley D. Perioperative complications in obstructive sleep apnea patients undergoing surgery: a review of the legal literature. Anesth Analg 2016;122:145-51.
22. Zutler M, Holty J-EC. Opioids, sleep, and sleepdisordered breathing. Curr Pharm Des 2011;17:1443-9.
23. Olson EJ, Park JG, Morgenthaler TI. Obstructive sleep apnea-hypopnea syndrome. Prim Care 2005;32:329-59.
24. Vasu TS, Grewal R, Doghramji K. Obstructive sleep apnea syndrome and perioperative complications: a systematic review of the literature. J Clin Sleep Med 2012;8:199-207.
25. Walker JM, Farney RJ. Are opioids associated with sleep apnea? A review of the evidence. Curr Pain Headache Rep 2009;13:120-6.
26. Yue HJ, Guilleminault C. Opioid medication and sleep-disordered breathing. Med Clin North Am 2010;94:435-46.
27. Brown KA, Laferrière A, Lakheeram I, Moss IR. Recurrent hypoxemia in children is associated with increased analgesic sensitivity to opiates. Anesthesiology 2006;105:665-9.
28. Ramachandran SK, Haider N, Saran KA, et al. Lifethreatening critical respiratory events: a retrospective study of postoperative patients found unrespon sive during analgesic therapy. J Clin Anesth 2011;23:207-13.
29. Chung F, Liao P, Elsaid H, Shapiro CM, Kang W. Factors associated with postoperative exacerbation of sleep-disordered breathing. Anesthesiology 2014;120:299-311.
30. Memtsoudis SG, Besculides MC, Mazumdar M. A rude awakening-the perioperative sleep apnea epidemic. N Engl J Med 2013;368:2352-3.
31. 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;130:780-6.
32. Finkel KJ, Searleman AC, Tymkew H, et al. Prevalence of undiagnosed obstructive sleep apnea among adult surgical patients in an academic medical center. Sleep Med 2009;10:753-8.
33. Li C, Ford ES, Zhao G, Croft JB, Balluz LS, Mokdad AH. Prevalence of self-reported clinically diagnosed sleep apnea according to obesity status in men and women: National Health and Nutrition Examination Survey, 2005-2006. Prev Med 2010;51:18-23.
34. Lumeng JC, Chervin RD. Epidemiology of pediatric obstructive sleep apnea. Proc Am Thorac Soc 2008;5:242-52.
35. Memtsoudis S, Liu SS, Ma Y, et al. Perioperative pulmonary outcomes in patients with sleep apnea after noncardiac surgery. Anesth Analg 2011;112:113-21.
36. Bateman BT, Eikermann M. Obstructive sleep apnea predicts adverse perioperative outcome: evidence for an association between obstructive sleep apnea and delirium. Anesthesiology 2012;116:753-5.
37. 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;56:819-28.
38. Mokhlesi B, Hovda MD, Vekhter B, Arora VM, Chung F, Meltzer DO. Sleep-disordered breathing and postoperative outcomes after elective surgery: analysis of the nationwide inpatient sample. Chest 2013;144:903-14.
39. Mokhlesi B, Hovda MD, Vekhter B, Arora VM, Chung F, Meltzer DO. Sleep-disordered breathing and postoperative outcomes after bariatric surgery: analysis of the Nationwide Inpatient Sample. Obes Surg 2013;23:1842-51.
40. Lyons PG, Zadravecz FJ, Edelson DP, Mokhlesi B, Churpek MM. Obstructive sleep apnea and adverse outcomes in surgical and nonsurgical patients on the wards. J Hosp Med 2015;10:592-8.
41. Singh M, Liao P, Kobah S, Wijeysundera DN, Shapiro C, Chung F. Proportion of surgical patients with undiagnosed obstructive sleep apnoea. Br J Anaesth 2013;110:629-36.
42. Coté CJ, Posner KL, Domino KB. Death or neurologic injury after tonsillectomy in children with a focus on obstructive sleep apnea: Houston, we have a problem! Anesth Analg 2014;118:1276-83.
43. D'Apuzzo MR, Browne JA. Obstructive sleep apnea as a risk factor for postoperative complications after revision joint arthroplasty. J Arthroplasty 2012;27(8 Suppl):95-8.
44. Memtsoudis SG, Bombardieri AM, Ma Y, Walz JM, Chiu YL, Mazumdar M. Mortality of patients with respiratory insufficiency and adult respiratory distress syndrome after surgery: the obesity paradox. J Intensive Care Med 2012;27:306-11.
45. Bucholz EM, Rathore SS, Reid KJ, et al. Body mass index and mortality in acute myocardial infarction patients. Am J Med 2012;125:796-803.
46. 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;108:822-30.
47. Chung F, Yegneswaran B, Liao P, et al. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology 2008;108:812-21.
48. Chung F, Liao P, Elsaid H, Islam S, Shapiro CM, Sun Y. Oxygen desaturation index from nocturnal oximetry: a sensitive and specific tool to detect sleepdisordered breathing in surgical patients. Anesth Analg 2012;114:993-1000.
49. Ankichetty S, Chung F. Considerations for patients with obstructive sleep apnea undergoing ambulatory surgery. Curr Opin Anaesthesiol 2011;24:605-11.
50. Abrishami A, Khajehdehi A, Chung F. A systematic review of screening questionnaires for obstructive sleep apnea. Can J Anaesth 2010;57:423-38.
51. Shafazand S. Perioperative management of obstructive sleep apnea: ready for prime time? Cleve Clin J Med 2009;76(Suppl 4):S98-103.
52. Chung F, Yang Y, Liao P. Predictive performance of the STOP-Bang score for identifying obstructive sleep apnea in obese patients. Obes Surg 2013;23:2050-7.
53. 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;108:768-75.
54. Farney RJ, Walker BS, Farney RM, Snow GL, Walker JM. 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;7:459-65.
55. Luo J, Huang R, Zhong X, Xiao Y, Zhou J. STOPBang questionnaire is superior to Epworth sleepiness scales, Berlin questionnaire, and STOP questionnaire in screening obstructive sleep apnea hypopnea syndrome patients. Chin Med J 2014;127:3065-70.
56. Proczko MA, Stepaniak PS, de Quelerij M, et al. STOP-Bang and the effect on patient outcome and length of hospital stay when patients are not using continuous positive airway pressure. J Anesth 2014;28:891-7.
57. Chung F, Abdullah HR, Liao P. STOP-Bang Questionnaire: A practical approach to screen for obstructive sleep apnea. Chest. 2015 Sep. 17. [Epub ahead of print].
58. Marcus CL, Brooks LJ, Draper KA, et al. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics 2012;130:576-84.
59. Kadmon G, Chung SA, Shapiro CM. I'M SLEEPY: a short pediatric sleep apnea questionnaire. Int J Pediatr Otorhinolaryngol 2014;78:2116-20.
60. Raveendran R, Chung F. Perioperative consideration of obstructive sleep apnea in ambulatory surgery. Anesthesiol Clin 2014;32:321-8.
61. Kapoor M, Greenough G. Home sleep tests for obstructive sleep apnea (OSA). J Am Board Fam Med 2015;28:504-9.
62. White PF. The changing role of non-opioid analgesic techniques in the management of postoperative pain. Anesth Analg 2005;101(5 Suppl):S5-22.
63. Seet E, Chung F. Obstructive sleep apnea: preoperative assessment. Anesthesiol Clin 2010;28:199-215.
64. Porhomayon J, Leissner KB, El-Solh AA, Nader ND. Strategies in postoperative analgesia in the obese obstructive sleep apnea patient. Clin J Pain 2013;29:998-1005.
65. Patino M, Sadhasivam S, Mahmoud M. Obstructive sleep apnoea in children: perioperative considerations. Br J Anaesth 2013;111(Suppl 1):i83-95.
66. Subramanyam R, Varughese A, Willging JP, Sadhasivam S. Future of pediatric tonsillectomy and perioperative outcomes. Int J Pediatr Otorhinolaryngol 2013;77:194-9.
67. Strauss PZ. Perianesthesia implications of obstructive sleep apnea. Crit Care Nurs Q 2015;38:97-108.
68. Auckley D, Cox R, Bolden N, Thornton JD. Attitudes regarding perioperative care of patients with OSA: a survey study of four specialties in the United States. Sleep Breath 2014;19:315-25.
69. Cordovani L, Chung F, Germain G, et al. Perioperative management of patients with obstructive sleep apnea: a survey of Canadian anesthesiologists. Can J Anesth/J Can Anesth 2015;63:16-23.
70. Seet E, Chung F. Management of sleep apnea in adults - functional algorithms for the perioperative period: Continuing Professional Development. Can J Anaesth 2010;57:849-64.