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Related Concept Videos

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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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Perioperative issues and sleep-disordered breathing.

Karen L Wood1, Beth Y Besecker1

  • 1Department of Internal Medicine, Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, The Wexner Medical Center at The Ohio State University, Columbus, OH, USA.

Critical Care Clinics
|June 30, 2015
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Summary
This summary is machine-generated.

Perioperative sleep-disordered breathing presents significant challenges for healthcare providers. This includes identifying high-risk patients for obstructive sleep apnea and managing their care safely throughout the surgical process.

Keywords:
AnesthesiaObstructive sleep apneaPerioperativeSleep-disordered breathing

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Area of Science:

  • Anesthesiology
  • Critical Care Medicine
  • Sleep Medicine

Background:

  • Sleep-disordered breathing (SDB) complicates perioperative care.
  • Obstructive sleep apnea (OSA) is a common SDB with significant perioperative implications.
  • Healthcare providers face challenges in managing SDB patients undergoing surgery.

Purpose of the Study:

  • To highlight challenges in identifying high-risk patients for OSA preoperatively.
  • To discuss optimal monitoring and management strategies for SDB patients.
  • To address safe disposition strategies and special populations (pediatrics, morbidly obese).

Main Methods:

  • Review of current literature and clinical practices.
  • Identification of key challenges in patient risk stratification.
  • Discussion of pharmacologic and non-pharmacologic management approaches.

Main Results:

  • Difficulty in pre-operative identification of OSA patients.
  • Need for tailored monitoring and management plans.
  • Importance of safe post-operative disposition strategies.

Conclusions:

  • Effective management of perioperative SDB requires proactive identification and tailored strategies.
  • Special considerations are needed for pediatric and morbidly obese populations.
  • Addressing these challenges improves patient safety and outcomes.