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Related Concept Videos

Sleep Apnea01:21

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Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
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General Anesthesia: Overview01:24

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Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
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Updated: Mar 29, 2026

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Obstructive Sleep Apnea and the Adult Perioperative Patient.

Dennis L Spence, Tony Han, Jason McGuire

    Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses
    |November 25, 2015
    PubMed
    Summary

    Obstructive sleep apnea (OSA) increases surgical risks. Perianesthesia nurses must identify and manage OSA patients to reduce perioperative complications and improve outcomes.

    Keywords:
    anesthesiaobstructive sleep apneaopioidspostoperative complications

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    Area of Science:

    • Anesthesiology
    • Sleep Medicine
    • Critical Care Nursing

    Background:

    • Obstructive sleep apnea (OSA) is a prevalent chronic condition characterized by upper airway obstruction during sleep.
    • OSA is linked to substantial morbidity and mortality, significantly elevating perioperative risks for surgical patients.
    • Effective management necessitates that perianesthesia nurses possess a thorough understanding of OSA identification and care.

    Purpose of the Study:

    • To provide perianesthesia nurses with essential knowledge regarding obstructive sleep apnea (OSA).
    • To review the pathophysiology, anesthetic effects, and perioperative management of OSA patients.
    • To highlight the importance of screening for undiagnosed OSA in adult surgical populations.

    Main Methods:

    • Literature review of pathophysiology, anesthetic/opioid effects on sleep architecture, and postoperative complications associated with OSA.
    • Analysis of current evidence on screening tools for undiagnosed OSA in adult surgical patients.
    • Synthesis of perioperative management principles for patients with known or suspected OSA.

    Main Results:

    • Anesthesia and opioids can exacerbate OSA by altering sleep architecture and respiratory drive.
    • OSA is associated with increased postoperative complications, including respiratory events and prolonged recovery.
    • Screening for undiagnosed OSA is crucial for identifying at-risk surgical patients.

    Conclusions:

    • Perianesthesia nurses require comprehensive knowledge of OSA for safe patient care.
    • Proactive identification and management of OSA can mitigate perioperative risks and improve patient outcomes.
    • Implementing evidence-based screening and management strategies is vital in the perioperative setting.