Assessing and Managing Surgical Risk in Obstructive Sleep Apnea: A Narrative Review

被引：0
作者：
Sidhu, Hasrat [1 ]
Chediak, Alejandro [1 ]
Kalra, Amit [1 ]
Latorre, Christian Castillo [1 ]
Ascher, Kori [1 ]
Abreu, Alexandre [1 ]
机构：
[1] Univ Miami, Leonard Miller Sch Med, Dept Med, Div Pulm Crit Care & Sleep Med, Miami, FL 33136 USA
来源：
CURRENT PULMONOLOGY REPORTS | 2024年 / 13卷 / 01期
关键词：
Obstructive sleep apnea; Screening; Intraoperative complications; Sedation; CPAP; POSITIVE-AIRWAY-PRESSURE; BERLIN QUESTIONNAIRE; COMPLICATIONS; SOCIETY; COLLAPSIBILITY; INTUBATION; VALIDATION; GUIDELINES; ANESTHESIA; SEDATION;
D O I：
10.1007/s13665-023-00333-w
中图分类号：
R56 [呼吸系及胸部疾病];
学科分类号：
摘要：
Purpose of ReviewThe aim of this review is to examine the existing data for risks involved and clinical recommendations for patients with obstructive sleep apnea (OSA) undergoing a surgical procedure.Recent FindingsIn addition to upper airway anatomy, there are non-anatomical endotypes of OSA as well. The response of these endotypes to various perioperative scenarios can be used for targeted, patient-specific intervention. Screening tools should be used for risk stratification. Positive airway pressure therapy remains the treatment of choice. A few patients may require supplemental oxygen.SummaryObstructive sleep apnea is associated with an increased risk of perioperative complications. Due to limited research in this area, there remains a paucity of standardized practice guidelines for at risk patient populations.
引用
收藏
页码：10 / 17
页数：8
相关论文
共 39 条
[21]   Meta-analysis of the association between obstructive sleep apnoea and postoperative outcome [J].
Kaw, R. ;
Chung, F. ;
Pasupuleti, V. ;
Mehta, J. ;
Gay, P. C. ;
Hernandez, A. V. .
BRITISH JOURNAL OF ANAESTHESIA, 2012, 109 (06) :897-906
[22]   Accuracy of STOP-Bang Questionnaire in Predicting Difficult Mask Ventilation: An Observational Study [J].
Khan, Marium N. ;
Ahmed, Aliya .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2021, 13 (06)
[23]   Postoperative Oxygen Therapy in Patients With OSA A Randomized Controlled Trial [J].
Liao, Pu ;
Wong, Jean ;
Singh, Mandeep ;
Wong, David T. ;
Islam, Sazzadul ;
Andrawes, Maged ;
Shapiro, Colin M. ;
White, David P. ;
Chung, Frances .
CHEST, 2017, 151 (03) :597-611
[24]   Perioperative Auto-titrated Continuous Positive Airway Pressure Treatment in Surgical Patients with Obstructive Sleep Apnea A Randomized Controlled Trial [J].
Liao, Pu ;
Luo, Quanwei ;
Elsaid, Hisham ;
Kang, Weimin ;
Shapiro, Colin M. ;
Chung, Frances .
ANESTHESIOLOGY, 2013, 119 (04) :837-847
[25]   FACIAL MORPHOLOGY AND OBSTRUCTIVE SLEEP-APNEA [J].
LOWE, AA ;
SANTAMARIA, JD ;
FLEETHAM, JA ;
PRICE, C .
AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS, 1986, 90 (06) :484-491
[26]   Comparison of Collapsibility of the Human Upper Airway During Anesthesia and During Sleep [J].
Maddison, Kathleen J. ;
Walsh, Jennifer H. ;
Shepherd, Kelly L. ;
Bharat, Chrianna ;
Lawther, Bradley K. ;
Platt, Peter R. ;
Eastwood, Peter R. ;
Hillman, David R. .
ANESTHESIA AND ANALGESIA, 2020, 130 (04) :1008-1017
[27]   Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea [J].
Memtsoudis, Stavros G. ;
Cozowicz, Crispiana ;
Nagappa, Mahesh ;
Wong, Jean ;
Joshi, Girish P. ;
Wong, David T. ;
Doufas, Anthony G. ;
Yilmaz, Meltem ;
Stein, Mark H. ;
Krajewski, Megan L. ;
Singh, Mandeep ;
Pichler, Lukas ;
Ramachandran, Satya Krishna ;
Chung, Frances .
ANESTHESIA AND ANALGESIA, 2018, 127 (04) :967-987
[28]   Is obstructive sleep apnea associated with difficult airway? Evidence from a systematic review and meta-analysis of prospective and retrospective cohort studies [J].
Nagappa, Mahesh ;
Wong, David T. ;
Cozowicz, Crispiana ;
Ramachandran, Satya Krishna ;
Memtsoudis, Stavros G. ;
Chung, Frances .
PLOS ONE, 2018, 13 (10)
[29]   Craniofacial and upper airway morphology in adult obstructive sleep apnea patients: A systematic review and meta-analysis of cephalometric studies [J].
Neelapu, Bala Chakravarthy ;
Kharbanda, Om Prakash ;
Sardana, Harish Kumar ;
Balachandran, Rajiv ;
Sardana, Viren ;
Kapoor, Priyanka ;
Gupta, Abhishek ;
Vasamsetti, Srikanth .
SLEEP MEDICINE REVIEWS, 2017, 31 :79-90
[30]   Continuous Positive Airway Pressure via the Boussignac System Immediately after Extubation Improves Lung Function in Morbidly Obese Patients with Obstructive Sleep Apnea Undergoing Laparoscopic Bariatric Surgery [J].
Neligan, Patrick J. ;
Malhotra, Guarav ;
Fraser, Michael ;
Williams, Noel ;
Greenblatt, Eric P. ;
Cereda, Maurizio ;
Ochroch, E. Andrew .
ANESTHESIOLOGY, 2009, 110 (04) :878-884
1234