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Intraoperative BiPAP in OSA Patients
Bhavna P Singh1, Kodandaram Ns1
1Junior Resident, Department of Anesthesiology, Employees State Insurance Medical College and Research Centre , Rajajinagar, Bangalore, India .
Journal of Clinical and Diagnostic Research : JCDR
|May 30, 2015
Summary
This case report demonstrates the successful use of bi-level positive airway pressure (BiPAP) during surgery for a patient with severe obstructive sleep apnea (OSA). Intraoperative BiPAP facilitated safe sedation for a total knee replacement, preventing airway collapse.
Area of Science:
- Anesthesiology
- Respiratory Medicine
- Sleep Medicine
Background:
- Severe obstructive sleep apnea (OSA) poses significant risks during anesthesia, primarily airway loss.
- Patients with OSA are highly sensitive to sedatives, increasing the risk of airway collapse.
Observation:
- A 55-year-old female with severe OSA and pulmonary hypertension underwent total knee replacement.
- A combined spinal-epidural technique was employed with moderate sedation and intraoperative bi-level positive airway pressure (BiPAP).
Findings:
- The patient tolerated the procedure well, with no intraoperative or postoperative complications.
- Intraoperative BiPAP allowed for adequate sedation with reduced doses of sedatives, avoiding desaturation or airway events.
Implications:
- Intraoperative BiPAP may be a valuable tool for safely sedating patients with severe OSA undergoing regional anesthesia.
- Further research is needed to confirm the safety and efficacy of this approach in OSA patients.
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