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Updated: Jun 23, 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
Perioperative complications in obstructive sleep apnea patients
1Pulmonary and Critical Care Medicine Service, Army Medical Center, 20307-5001, Washington D.C..
Sleep & Breathing = Schlaf & Atmung
|May 5, 2009
Summary
Patients with obstructive sleep apnea (OSA) face higher risks of perioperative complications, particularly airway management issues during general anesthesia. Careful management is crucial for these individuals undergoing surgery.
Area of Science:
- Anesthesiology
- Sleep Medicine
- Surgical Complications
Background:
- Limited data exists on perioperative complications in obstructive sleep apnea (OSA) patients undergoing non-pharyngeal surgeries.
- Previous reports are primarily small case series.
Purpose of the Study:
- To systematically evaluate perioperative complications in a large cohort of OSA patients undergoing various surgeries.
- To identify predictors of these complications.
Main Methods:
- Cross-referenced 860 OSA patients with 2,350 surgical patients over 18 months.
- Reviewed records of 57 OSA patients who underwent surgery.
Main Results:
- 17% of OSA patients (8 of 48) experienced perioperative complications under general anesthesia.
- Complications were primarily related to airway management difficulties.
- Neither BMI nor OSA severity predicted complications.
Conclusions:
- OSA patients have a higher incidence of respiratory complications (17%) compared to the general surgical population (4%).
- Complications align with OSA's pharyngeal obstruction pathology.
- Cautious perioperative management of OSA patients is recommended.
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