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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
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Obstructive sleep apnea, sleep disorders, and perioperative considerations
1Anesthesiology and Critical Care Medicine, Johns Hopkins Medicine, 601 North Caroline Street, Baltimore, MD 21287-0712, USA; Otolaryngology, Head and Neck Surgery, Johns Hopkins Medicine, 601 North Caroline Street, Baltimore, MD 21287-0712, USA.
Anesthesiology Clinics
|May 23, 2015
Summary
Patients with obstructive sleep apnea (OSA) face surgical challenges, including ventilation difficulties and increased postoperative risks. This review covers OSA identification, epidemiology, treatments, and perioperative care for surgical patients.
Area of Science:
- Anesthesiology
- Sleep Medicine
- Surgical Patient Care
Background:
- Obstructive sleep apnea (OSA) is a prevalent sleep disorder.
- Surgical patients with OSA present unique perioperative challenges.
- These challenges include difficult airway management and increased risk of postoperative complications.
Purpose of the Study:
- To review the identification and epidemiology of obstructive sleep apnea.
- To discuss current treatment options for OSA.
- To outline the perioperative management strategies for surgical patients with OSA.
Main Methods:
- Literature review of studies on obstructive sleep apnea in surgical patients.
- Synthesis of data on OSA identification, prevalence, and treatment.
- Analysis of perioperative management guidelines and recommendations.
Main Results:
- Patients with OSA often experience difficult ventilation and intubation.
- Postoperative complications are more frequent in surgical patients with OSA.
- Effective perioperative management can mitigate risks associated with OSA.
Conclusions:
- Early identification and risk stratification of OSA are crucial for surgical patients.
- Comprehensive management, including preoperative optimization and intraoperative/postoperative care, is essential.
- Addressing OSA perioperatively improves patient outcomes and reduces surgical complications.
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