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Updated: Jul 4, 2026
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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
[Obstructive sleep apnea and anesthesia].
Mladen Carev1, Nenad Karanović, Zoran Dogas
1Odjel za anesteziju i intenzivno lijecenje KBC-a Split.
Lijecnicki Vjesnik
|July 3, 2008
Summary
Patients with sleep apnea face increased perioperative risks, including difficult airways and prolonged recovery. Routine screening for sleep apnea is crucial for anesthesia safety.
Area of Science:
- Anesthesiology
- Sleep Medicine
- Cardiology
Context:
- Sleep apnea significantly increases perioperative risks, including difficult airway management and prolonged emergence from anesthesia.
- Strong evidence links sleep apnea to hypertension and other cardiovascular diseases, highlighting the need for comprehensive patient evaluation.
- Preoperative assessment should routinely include sleep-related questions, airway examination, and cardiovascular evaluation.
Purpose:
- To emphasize the critical link between sleep apnea and perioperative complications.
- To advocate for routine screening of sleep apnea in preanesthesia evaluations.
- To inform anesthesiologists about the increased risks associated with obstructive sleep apnea (OSA).
Summary:
- Obstructive sleep apnea (OSA) presents a significant perioperative challenge, often indicating a difficult airway until proven otherwise.
- Patients with OSA are at higher risk during tracheal intubation, extubation, and postoperative analgesia due to increased pharyngeal collapse.
- Polysomnography is essential for precise OSA severity definition, and regional anesthesia is recommended when feasible.
Impact:
- Routine screening and consideration of OSA can improve patient safety and outcomes during surgical procedures.
- Anesthesiologists can play a key role in identifying potential OSA cases through careful documentation of airway management and recovery.
- Integrating sleep apnea screening into preanesthesia protocols can mitigate risks associated with cardiovascular comorbidities.
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