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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

Postoperative complications in obstructive sleep apnea.

M Jeffery Mador¹, Sandeep Goplani, V Anand Gottumukkala

¹Western New York Veteran Affairs Healthcare System, Buffalo, NY, USA. mador@buffalo.edu

Sleep & Breathing = Schlaf & Atmung

|July 24, 2012

Summary

This summary is machine-generated.

Patients with obstructive sleep apnea (OSA) face a higher risk of postoperative complications. This retrospective study found OSA significantly increases the likelihood of adverse events following major surgery.

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Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea

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Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

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Published on: October 18, 2024

Area of Science:

Anesthesiology
Pulmonology
Sleep Medicine

Background:

Obstructive sleep apnea (OSA) is a common condition affecting surgical patients.
The impact of OSA severity and continuous positive airway pressure (CPAP) use on postoperative outcomes requires further investigation.

Purpose of the Study:

To determine if patients with OSA have an increased rate of postoperative complications.
To assess the influence of OSA severity and preoperative CPAP use on surgical outcomes.

Main Methods:

Retrospective study of 370 patients undergoing major surgery and sleep studies between 2000-2010.
Patients categorized into four groups based on apnea-hypopnea index (AHI): OSA negative, mild, moderate, and severe.
Collected data on respiratory, cardiac, neurological complications, and unplanned ICU transfers.

Main Results:

OSA patients (76.8%) had a significantly higher overall complication rate (48.9%) compared to non-OSA patients (31.4%).
Respiratory complications were more frequent in OSA patients (40.4%) versus controls (23.2%).
No significant difference in total complications was observed between preoperative CPAP users and non-users.

Conclusions:

Obstructive sleep apnea is linked to a significantly elevated risk of postoperative complications.
OSA management strategies may be crucial for improving surgical patient safety.