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Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

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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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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Tracheostomy Care I: Pre-procedural Steps01:16

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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
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Suctioning the Nasopharyngeal Airway01:29

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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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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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Obstructive Sleep Apnea: Preoperative Screening and Postoperative Care.

Robert M Wolfe1, Jonathan Pomerantz2, Deborah E Miller2

  • 1From the Department of Family Medicine, NorthShore University HealthSystem, Evanston, IL (RMW, RW-C); the University of Chicago Pritzker School of Medicine, Chicago, IL (RMW, JP, DEM, RW-C); the Department of Otolaryngology, NorthShore University HealthSystem, Evanston, IL (JP); University of Chicago (NorthShore) Family Medicine Residency, Glenview, IL (DEM); and Clinical Research Informatics, Center for Biomedical Research Informatics; NorthShore University HealthSystem, Evanston, IL (TS). rwolfe1@uchicago.edu.

Journal of the American Board of Family Medicine : JABFM
|March 10, 2016
PubMed
Summary
This summary is machine-generated.

Obstructive sleep apnea (OSA) is common in surgical patients and often undiagnosed, increasing perioperative risks. Early screening and continuous monitoring are vital for preventing serious complications.

Keywords:
Obstructive Sleep ApneaOpioidsPediatricsRespiratory FailureRespiratory Tract DiseasesScreeningSleep DisordersSnoringSurgery

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Area of Science:

  • Anesthesiology
  • Sleep Medicine
  • Critical Care Medicine

Background:

  • Obstructive sleep apnea (OSA) is an epidemic condition frequently unrecognized in the perioperative setting.
  • Undiagnosed OSA significantly contributes to perioperative morbidity and mortality, with hypoxic injury often misdiagnosed.
  • Over 80% of patients with OSA undergoing elective surgery remain undiagnosed preoperatively.

Purpose of the Study:

  • To highlight the prevalence and risks of undiagnosed obstructive sleep apnea in the perioperative period.
  • To emphasize the importance of preoperative screening and postoperative management strategies for OSA patients.
  • To advocate for interventions preventing perioperative apneic events and associated complications.

Main Methods:

  • Review of the impact of sedatives, narcotics, general anesthesia, and postoperative changes on OSA patients.
  • Discussion of preoperative screening tools like STOP or STOP-Bang questionnaires for adults.
  • Recommendation for incorporating snoring questions in pediatric preoperative evaluations.

Main Results:

  • The perioperative period exacerbates OSA risks due to anesthetic agents and altered sleep patterns.
  • Preoperative screening can identify at-risk adult patients for obstructive sleep apnea.
  • Known OSA patients require continued positive airway pressure therapy postoperatively.

Conclusions:

  • Early identification of obstructive sleep apnea through preoperative screening is crucial.
  • Continuous positive airway pressure (CPAP) should be maintained postoperatively for known OSA patients.
  • Continuous pulse oximetry with alarms can prevent severe postoperative apneic events in OSA patients.