keyword
https://read.qxmd.com/read/35671031/perioperative-considerations-for-adult-patients-with-obstructive-sleep-apnea
#21
REVIEW
Toby N Weingarten, Juraj Sprung
PURPOSE OF REVIEW: Obstructive sleep apnea (OSA) is a common, but often undiagnosed, sleep breathing disorder affecting approximately a third of adult surgical patients. OSA patients have increased sensitivity to anesthetic agents, sedatives, and opioid analgesics. RECENT FINDINGS: Newer technologies (e.g., bedside capnography) have demonstrated that OSA patients have repetitive apneic spells, beginning in the immediate postoperative period and peaking in frequency during the first postoperative night...
June 1, 2022: Current Opinion in Anaesthesiology
https://read.qxmd.com/read/35657727/is-continuous-positive-airway-pressure-all-there-is-alternative-perioperative-treatments-for-obstructive-sleep-apnea
#22
EDITORIAL
David R Hillman
No abstract text is available yet for this article.
July 1, 2022: Anesthesiology
https://read.qxmd.com/read/35619933/safety-of-restarting-continuous-positive-airway-pressure-cpap-therapy-following-endoscopic-endonasal-skull-base-surgery
#23
REVIEW
Mark B Chaskes, Mindy R Rabinowitz
Objectives: Patients with obstructive sleep apnea (OSA) are at increased risk of perioperative and postoperative morbidity. The use of continuous positive airway pressure (CPAP) in the perioperative period may be of potential benefit. However, among patients who have undergone endonasal skull base surgery, many surgeons avoid prompt re-initiation of CPAP therapy due to the theoretical increased risk of epistaxis, excessive dryness, pneumocephalus, repair migration, intracranial introduction of bacteria, and cerebrospinal fluid (CSF) leak...
March 2022: World Journal of Otorhinolaryngology—Head and Neck Surgery
https://read.qxmd.com/read/35619018/evaluation-of-cpap-adherence-in-bariatric-patients-diagnosed-with-obstructive-sleep-apnea-outcomes-of-a-multicenter-cohort-study
#24
JOURNAL ARTICLE
S L van Veldhuisen, M F van Boxel, M J Wiezer, R N van Veen, S M M de Castro, D J Swank, A Demirkiran, E G Boerma, J W M Greve, F M H van Dielen, K Kuppens, E J Hazebroek
PURPOSE: Obstructive sleep apnea (OSA) is highly prevalent but mostly undiagnosed in obese patients scheduled for bariatric surgery. To prevent cardiopulmonary complications, many clinics perform preoperative OSA screening. Consequently, adequate adherence to continuous positive airway pressure (CPAP) therapy is essential but challenging. We aimed to evaluate CPAP adherence and its influence on postoperative outcomes. METHODS: In a prospective multicenter cohort study, we compared different perioperative strategies for handling undiagnosed OSA in bariatric patients...
May 27, 2022: Sleep & Breathing
https://read.qxmd.com/read/35567809/picu-admission-and-complications-following-adenotonsillectomies-in-pediatric-patients-a-retrospective-cohort-study
#25
JOURNAL ARTICLE
Kathleen Than, Connie Mun-Price, Margaret J Klein, Patrick A Ross, Gabriel Gomez, Makoto Nagoshi
BACKGROUND: Children with obstructive sleep apnea (OSA) have higher risks of post-operative respiratory complication after adenotonsillectomy. However, there is no clinical standard criteria for pediatric intensive care unit (PICU) admission following adenotonsillectomy. The purpose of this study was to identify perioperative risk factors associated with the need for PICU level care after adenotonsillectomy. METHODS: We performed a retrospective chart review of children with severe OSA (apnea hypopnea index on polysomnography; AHI ≥10) and/or post-operative PICU admission at a tertiary academic center from May 2010 to September 2018...
July 2022: International Journal of Pediatric Otorhinolaryngology
https://read.qxmd.com/read/35554982/a-rare-pediatric-case-report-salvage-transcatheter-closure-of-atrial-septal-defect-before-parent-to-offspring-living-donor-liver-transplantation
#26
JOURNAL ARTICLE
Xiaoquan Chen, Xiaohu Zhou, Yuan Zhang, Jianhua Feng, Daniel H Zhang, Yanjun Shi
1. Case presentation A 4-month-old female infant was admitted to our clinical ward in May 2021 due to her skin manifestation of the jaundice since birth. Her symptoms aggravated progressively despite various medications (e.g. Ursodeoxycholic Acid, Stronger Neo-Minophagen C Tablets) were prescribed. Initial Work-up. The admission abdominal ultrasound demonstrated contracted gallbladder, with no sign of common bile duct. Two weeks ago, she was admitted into Pediatric ICU, where her conditions worsened to coagulation dysfunction, digestive tract hemorrhage and hypotension...
May 2022: FASEB Journal: Official Publication of the Federation of American Societies for Experimental Biology
https://read.qxmd.com/read/35501779/preoperative-dynamic-quantitative-sensory-testing-in-remote-pain-free-areas-is-associated-with-axial-pain-after-posterior-cervical-spinal-surgeries
#27
JOURNAL ARTICLE
Kaiwen Chen, Jie Yu, Cong Nie, Yu Zhu, Jianyuan Jiang, Wei Lei, Xinlei Xia, Chaojun Zheng
BACKGROUND: Postoperative axial pain (PAP), characterized by pain and/or stiffness around the posterior neck, periscapular areas and/or shoulder region, is a vexing complication affecting 5-60% of patients undergoing posterior cervical decompression. Given its relatively high frequency and negative impact on patients' physical and mental status, efforts preoperatively to confirm patients at risk of developing PAP to offer more efficient pain management to minimize this complication have a high priority...
May 2, 2022: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/35499289/reduction-in-medical-emergency-team-activation-among-postoperative-surgical-patients-at-risk-for-undiagnosed-obstructive-sleep-apnea
#28
JOURNAL ARTICLE
Andrew M Namen, Daniel Forest, Amit K Saha, Kang Rui Xiang, Kelly Younger, Sarah Ellen E Stephens, Sheila Maurer, Arjun B Chatterjee, Alexander Sy, Cormac O'Donovan, Sandhya Kumar, Clark Pinyan, Ronald Carroll, Stephen P Peters, Edward F Haponik
STUDY OBJECTIVES: Obstructive sleep apnea (OSA) is an under-recognized condition that results in morbidity and mortality. Postoperative complications including medical emergency team activation (META) are disproportionally increased among surgical patients at risk for OSA. A systematic approach is needed to improve provider recognition and treatment, but protocols demonstrate improvement from META are lacking. As part of a multidisciplinary quality improvement project, DOISNORE50 (DIS), a sleep apnea questionnaire and proactive safety measures, was algorithmically applied to all perioperative patients...
May 2, 2022: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://read.qxmd.com/read/35484673/-perioperative-management-and-complication-control-of-le-fort-%C3%A2-osteotomy-in-childhood-with-syndromic-craniosynostosis
#29
JOURNAL ARTICLE
Y Liu, X J Liu, X Z Mu, H Y Yang, Y Zhang
Objective: To summarize the preliminary efficacy, perioperative management and complications of Le Fort Ⅲ osteotomy and midface distraction in patients with syndromic craniosynostosis by retrospective analysis, and to provide clinical experience for reference. Methods: From October 2017 to January 2020, 20 patients with syndromic craniosynostosis underwent Le Fort Ⅲ osteotomy and distraction in The Department of Oral and maxillofacial Surgery of Peking University International Hospital, including 11 males and 9 females...
April 28, 2022: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
https://read.qxmd.com/read/35397037/improving-bed-utilization-in-a-cohort-of-bariatric-surgical-patients-using-a-perioperative-obstructive-sleep-apnea-treatment-and-bed-triage-protocol
#30
JOURNAL ARTICLE
Stephanie L Alexis, Paul N Draper, David Harris, Jason Sutherland, Sonia Makky, Nam Nguyen, James A Russell, Sharadh Sampath, Iqbal H Ahmed
BACKGROUND: Postoperative bariatric management often includes high-intensity monitoring for respiratory complications since > 70% of patients have obstructive sleep apnea. Given the increasing number of bariatric surgeries, there is a need to determine safe and cost-effective processes for postoperative care.The objective of this study was to determine if a novel triage and perioperative management guideline reduces postoperative monitoring and costs following bariatric surgery...
June 2022: Obesity Surgery
https://read.qxmd.com/read/35338764/comparison-of-the-oropharyngeal-leak-pressure-between-three-second-generation-supraglottic-airway-devices-during-laparoscopic-surgery-in-pediatric-patients
#31
RANDOMIZED CONTROLLED TRIAL
Abhyuday Kumar, Chandni Sinha, Neeraj Kumar, Ajeet Kumar, Bindey Kumar, Amarjeet Kumar, Rajnish Kumar
BACKGROUND: Previous studies have shown Proseal LMA and I gel similar to endotracheal intubation in ventilatory ability in pediatric laparoscopic surgeries. AIMS: The primary aim of this study was to assess whether there is a significant difference in the oropharyngeal leak pressure between Ambu Auragrain, I-gel, and Proseal LMA during pediatric laparoscopic surgery. METHODS: In this randomized controlled trial, 90 male patients of American Society of Anesthesiologists physical status I aged between 6 months and 10 years who were scheduled for laparoscopic single-sided inguinal hernia repair were recruited and randomly allocated to three groups in which airway was secured with Ambu Auragain, I gel, or Proseal LMA...
July 2022: Paediatric Anaesthesia
https://read.qxmd.com/read/35099569/home-high-flow-nasal-cannula-therapy-in-children-with-congenital-heart-disease
#32
JOURNAL ARTICLE
Yuka Hanaki, Jun Muneuchi, Junko Yamamoto, Chie Yokota, Junya Ohmura, Hiroki Ezaki, Miwa Yoshino, Ryoko Nakamura, Miho Takeichi, Yuichiro Sugitani, Ryouhei Matsuoka, Hirohito Doi, Mamie Watanabe, Yasuhiko Takahashi
High-flow nasal cannula (HFNC) therapy has been applied in the perioperative respiratory care for children with congenital heart disease and respiratory problems. However, the information about the feasibility of home HFNC therapy remains lacking among them. We retrospectively reviewed 5 children with congenital heart disease and respiratory problems who underwent home HFNC therapy, and evaluated their feasibility and safety. Age and weight at the introduction of home HFNC therapy were 19 (2-119) months and 5...
January 31, 2022: Pediatric Cardiology
https://read.qxmd.com/read/34922258/efficacy-of-high-flow-nasal-cannula-as-an-alternative-to-continuous-positive-airway-pressure-therapy-in-surgical-patients-with-suspected-moderate-to-severe-obstructive-sleep-apnea
#33
JOURNAL ARTICLE
Fung Chen Tsai, Ning Lynn Chen, Avinash Gobindram, Prit Anand Singh, Pon Poh Hsu, Alvin Kah Leong Tan
PURPOSE: To compare the efficacy of High flow nasal cannula (HFNC) as an alternative to Continuous Positive Airway Pressure (CPAP) therapy on the first postoperative night in patients with suspected moderate to severe obstructive sleep apnea (OSA). METHODS: This is randomised controlled trial conducted in a tertiary hospital which included elective surgical patients with STOP-BANG score of 5 and above. Forty patients were randomised into one of the four postoperative treatment groups: CPAP, or HFNC at three different flow rates (20 L/min, 30 L/min and 40 L/min)...
December 3, 2021: American Journal of Otolaryngology
https://read.qxmd.com/read/34899001/use-of-cpap-machines-in-the-perioperative-setting-in-ambulatory-surgical-centers
#34
JOURNAL ARTICLE
Javier Marull, M Jonathan Vachon, Dylan Buitran, Amy Macaluso
INTRODUCTION: Obstructive sleep apnea is a common sleep-related breathing disorder that is associated with significant perioperative complications. In 2012 and 2017, Society of Ambulatory Anesthesia and Society of Anesthesia and Sleep Medicine published consensus statements for the selection of patients with OSA scheduled for ambulatory surgery. Despite these recommendations, the need for a CPAP device in the immediate postoperative period at ambulatory surgical centers remains controversial because these ambulatory patients are healthier and have fewer complications...
2021: Nature and Science of Sleep
https://read.qxmd.com/read/34877751/noninvasive-ventilation-in-children-a-review-for-the-pediatric-anesthesiologist
#35
REVIEW
Luis Sequera-Ramos, Annery Garcia-Marcinkiewicz, Thomas Riva, Alexander Fuchs
Preserving adequate respiratory function is essential in the perioperative period. Mechanical ventilation with endotracheal intubation is widely used for this purpose. In select patients, noninvasive ventilation (NIV) may be an alternative to invasive ventilation or may complement respiratory management. NIV is used to provide ventilatory support and increase gas exchange at the alveolar level without the use of an invasive artificial airway such as an endotracheal tube or tracheostomy. NIV includes both continuous positive airway pressure (CPAP) and noninvasive positive pressure ventilation...
February 2022: Paediatric Anaesthesia
https://read.qxmd.com/read/34874991/impact-of-intraoperative-methadone-use-on-postoperative-opioid-requirements-after-cardiac-surgery
#36
JOURNAL ARTICLE
David J Wang, Pingping Song, Katharine M Nault
PURPOSE: Inadequate pain control after cardiac surgery increases postoperative morbidity. Increasing evidence suggests that perioperative intravenous (IV) methadone results in improved analgesia. This study evaluated the effect of intraoperative IV methadone on postoperative opioid requirements and surgical recovery. METHODS: A retrospective review of patients undergoing coronary artery bypass graft (CABG), valvular surgery or both between April 2017 and August 2018 was conducted...
April 1, 2022: American Journal of Health-system Pharmacy: AJHP
https://read.qxmd.com/read/34802923/improving-obstuctive-sleep-apnea-care-in-the-postanesthesia-care-unit
#37
JOURNAL ARTICLE
Preston Broadhead, Josh Cook, Tyler Johnson, Benjamin Nahass, Rebecca Miltner, Susan McMullan
PURPOSE: The purpose of this quality improvement project was to improve care of obstructive sleep apnea (OSA) patients through increased staff recognition of OSA in the postanesthesia care unit (PACU). DESIGN: Retrospective chart review with implementation of best practice guideline form to front of patient's chart. METHODS: Baseline data were collected during June 2020. Staff education was provided on current hospital policy of OSA patients...
February 2022: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/34764503/postoperative-cardiorespiratory-complications-and-continuous-positive-airway-pressure-efficacy-in-obese-patients-undergoing-noncardiac-surgery
#38
JOURNAL ARTICLE
Avinash Gobindram, Jia Lin Jacklyn Yek, Alvin Kah Leong Tan, Yiong Huak Chan, Joyce Lai Ying Lee, Pon Poh Hsu
BACKGROUND AND AIMS: One in six Singaporeans has obstructive sleep apnoea (OSA) due to obesity compounded by inherent craniofacial features. We assessed the incidence of cardiopulmonary complications and the effectiveness of continuous positive airway pressure (CPAP) therapy in minimising such complications within an obese population. METHODS: A retrospective study of elective noncardiac surgical patients with a body mass index ≥32 kg/m2 was conducted. Patients at moderate to severe risk of OSA were offered CPAP therapy...
September 2021: Indian Journal of Anaesthesia
https://read.qxmd.com/read/34747119/evolving-concepts-in-the-perioperative-management-of-obstructive-sleep-apnea-after-endoscopic-skull-base-surgery
#39
EDITORIAL
Mindy R Rabinowitz, Mark Chaskes, Garret Choby, Eric W Wang, Brian Thorp, Elina Toskala, Gurston G Nyquist, Marc R Rosen, James J Evans
No abstract text is available yet for this article.
November 7, 2021: International Forum of Allergy & Rhinology
https://read.qxmd.com/read/34559404/hypoglossal-nerve-stimulator-implantation-in-an-ambulatory-surgery-center-versus-hospital
#40
COMPARATIVE STUDY
Elliot Morse, Catherine Han, Maria Suurna
OBJECTIVES/HYPOTHESIS: Hypoglossal nerve stimulator (HGNS) implantation is highly effective in treating obstructive sleep apnea (OSA) in select patient populations that are intolerant of continuous positive airway pressure. Implantation surgery is traditionally performed in hospital outpatient departments (HOPD) due to concern about anesthetic effects and airway manipulation in an OSA population. In this study, we examined complications and efficiency of HGNS implantation in an ambulatory surgery center (ASC) versus HOPD...
March 2022: Laryngoscope
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