Obstructive sleep apnea is a commonly encountered problem in the perioperative period. In this article, guidelines are proposed to help physicians identify at-risk patients preoperatively and to guide subsequent intraoperative and postoperative monitoring and management.
ShafazandS. Perioperative management of obstructive sleep apnea: ready for prime time?Cleve Clin J Med. 2009;76(suppl 4):S98-S103.
2.
AdesanyaAOLeeWGreilichNBJoshiGP. Perioperative management of obstructive sleep apnea. Chest. 2010;138:1489-1498.
3.
GrossJBBachenbergKLBenumofUL. Practice guidelines for the perioperative management of patients with obstructive sleep apnea: a report by the American Society of Anesthesiologists Task Force on Perioperative Management of patients with obstructive sleep apnea. Anesthesiology. 2006;104:1081-1093.
4.
YoungTPeppardPGottliebD. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med. 2002;165:1217-1239.
5.
HwangDShakirNLimannB. Association of sleep-disordered breathing with postoperative complications. Chest. 2008;133:1128-1134.
6.
ChungFYegneswaranBLiaoP. Validation of the Berlin questionnaire and American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients. Anesthesiology. 2008;108:822-830.
7.
ChungFYegneswaranBLiaoP. STOP questionnaire: a tool to screen patients for obstructive sleep apnea. Anesthesiology. 2008;108:812-821.
8.
MarinJCarrizoSVicenteEAgustiA. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet. 2005;365:1046-1053.
9.
MeoliALRosenCLKristoD. Clinical Practice Review Committee; American Academy of Sleep Medicine. Upper airway management of the adult patient with obstructive sleep apnea in the perioperative period—avoiding complications. Sleep. 2003;26:1060-1065.
10.
GuptaRMParviziJHanssenADGayPC. Postoperative complications in patients with obstructive sleep apnea syndrome undergoing hip or knee replacement: a case-control study. Mayo Clin Proc. 2001;76:897-905.
11.
American Society of Anesthesiologists Task Force on Neuraxial Opioids, HorlockerTTBurtonAWConnisRT. Practice guidelines for the prevention, detection, and management of respiratory depression associated with neuraxial opioid administration. Anesthesiology. 2009;110:218-230.
12.
KawRMichotaFJafferAGhamandeSAuckleyDGolishJ. Unrecognized sleep apnea in the surgical patient: implications for the perioperative setting. Chest. 2006;129:198-205.
13.
OstermeierAMRoizenMFHautkappeMKlockPAKlaftaJM. Three sudden postoperative respiratory arrests associated with epidural opioids in patients with sleep apnea. Anesth Analg. 1997;85:452-460.
14.
LiaoPYegneswaranBVairavanathanSZilbermanPChungF. Postoperative complications in patients with obstructive sleep apnea: a retrospective matched cohort study. Can J Anaesth. 2009;56:819-828.
15.
den HerderCSchmeckJAppelboomDJde VriesN. Risks of general anaesthesia in people with obstructive sleep apnoea. BMJ. 2004;329:955-959.
16.
GaliBWhalenFXSchroederDRGayPCPlevakDJ. Identification of patients at risk for postoperative respiratory complications using a preoperative obstructive sleep apnea screening tool and post-anesthesia care assessment. Anesthesiology. 2009;110:869-877.
17.
GaliBWhalenFXGayPC. Management plan to reduce risks in perioperative care of patients with presumed obstructive sleep apnea syndrome. J Clin Sleep Med. 2007;3:582-588.
18.
RennotteMTBaelePAubertGRodensteinDO. Nasal continuous positive airway pressure in the perioperative management of patients with obstructive sleep apnea submitted to surgery. Chest. 1995;107:367-374.
19.
RamachandranSKHaiderNSaranKA. Life-threatening critical respiratory events: a retrospective study of postoperative patients found unresponsive during analgesic therapy. J Clin Anesth. 2011;23:207-213.
