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Obstructive sleep apnea sleep medicine anesthesia

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https://www.readbyqxmd.com/read/27898430/an-update-on-the-various-practical-applications-of-the-stop-bang-questionnaire-in-anesthesia-surgery-and-perioperative-medicine
#1
Mahesh Nagappa, Jean Wong, Mandeep Singh, David T Wong, Frances Chung
PURPOSE OF REVIEW: The present review aims to provide an update on the various practical applications of the STOP-Bang questionnaire in anesthesia, surgery, and perioperative medicine. RECENT FINDINGS: The STOP-Bang questionnaire was originally validated as a screening tool to identify surgical patients who are at high-risk of obstructive sleep apnea (OSA). A recent meta-analysis confirmed that STOP-Bang is validated for use in the sleep clinic, surgical, and general population...
November 24, 2016: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/27861433/understanding-phenotypes-of-obstructive-sleep-apnea-applications-in-anesthesia-surgery-and-perioperative-medicine
#2
Yamini Subramani, Mandeep Singh, Jean Wong, Clete A Kushida, Atul Malhotra, Frances Chung
Obstructive sleep apnea (OSA) is a prevalent sleep-disordered breathing with potential long-term major neurocognitive and cardiovascular sequelae. The pathophysiology of OSA varies between individuals and is composed of different underlying mechanisms. Several components including the upper airway anatomy, effectiveness of the upper airway dilator muscles such as the genioglossus, arousal threshold of the individual, and inherent stability of the respiratory control system determine the pathogenesis of OSA...
November 17, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27442772/society-of-anesthesia-and-sleep-medicine-guidelines-on-preoperative-screening-and-assessment-of-adult-patients-with-obstructive-sleep-apnea
#3
Frances Chung, Stavros G Memtsoudis, Satya Krishna Ramachandran, Mahesh Nagappa, Mathias Opperer, Crispiana Cozowicz, Sara Patrawala, David Lam, Anjana Kumar, Girish P Joshi, John Fleetham, Najib Ayas, Nancy Collop, Anthony G Doufas, Matthias Eikermann, Marina Englesakis, Bhargavi Gali, Peter Gay, Adrian V Hernandez, Roop Kaw, Eric J Kezirian, Atul Malhotra, Babak Mokhlesi, Sairam Parthasarathy, Tracey Stierer, Frank Wappler, David R Hillman, Dennis Auckley
The purpose of the Society of Anesthesia and Sleep Medicine guideline on preoperative screening and assessment of adult patients with obstructive sleep apnea (OSA) is to present recommendations based on the available clinical evidence on the topic where possible. As very few well-performed randomized studies in this field of perioperative care are available, most of the recommendations were developed by experts in the field through consensus processes involving utilization of evidence grading to indicate the level of evidence upon which recommendations were based...
August 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27258078/society-of-anesthesia-and-sleep-medicine-guideline-on-preoperative-screening-and-assessment-of-patients-with-obstructive-sleep-apnea
#4
Frances Chung, Stavros Memtsoudis, Satya Krishna Ramachandran, Mahesh Nagappa, Mathias Opperer, Crispiana Cozowicz, Sara Patrawala, David Lam, Anjana Kumar, Girish P Joshi, John Fleetham, Najib Ayas, Nancy Collop, Anthony Doufas, Matthias Eikermann, Marina Englesakis, Bhargavi Gali, Peter Gay, Adrian Hernandes, Roop Kaw, Eric Kezirian, Atul Malhotra, Babak Mokhlesi, Sairam Parthasarathy, Tracey Stierer, Frank Wappler, David R Hillman, Dennis Auckley
The purpose of the Society of Anesthesia and Sleep Medicine guideline on preoperative screening and assessment of patients with obstructive sleep apnea (OSA) is to present recommendations based on the available clinical evidence on the topic where possible. As very few well-performed randomized studies in this field of perioperative care are available, most of the recommendations were developed by experts in the field through consensus processes involving utilization of evidence grading to indicate the level of evidence upon which recommendations were based...
June 1, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27101493/does-obstructive-sleep-apnea-influence-perioperative-outcome-a-qualitative-systematic-review-for-the-society-of-anesthesia-and-sleep-medicine-task-force-on-preoperative-preparation-of-patients-with-sleep-disordered-breathing
#5
REVIEW
Mathias Opperer, Crispiana Cozowicz, Dario Bugada, Babak Mokhlesi, Roop Kaw, Dennis Auckley, Frances Chung, Stavros G Memtsoudis
Obstructive sleep apnea (OSA) is a commonly encountered problem in the perioperative setting even though many patients remain undiagnosed at the time of surgery. The objective of this systematic review was to evaluate whether the diagnosis of OSA has an impact on postoperative outcomes. We performed a systematic review of studies published in PubMed-MEDLINE, MEDLINE In-Process, and other nonindexed citations, Embase, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Health Technology Assessment up to November 2014...
May 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/26066700/post-gastrointestinal-endoscopy-complications-in-patients-with-obstructive-sleep-apnea-or-at-high-risk-for-sleep-apnea-a-systematic-review-and-meta-analysis
#6
Swarna Gaddam, Sameer K Gunukula, M Jeffery Mador
BACKGROUND: Obstructive sleep apnea (OSA) is becoming increasingly more prevalent with the rise in obesity. Complications from gastrointestinal (GI) endoscopy in this patient population have been reported in several studies, but the modest complication rates from these procedures make it difficult to come to definitive conclusions based on single studies. The objective of our study was to systematically review these studies reporting the incidence of post-procedure complications in patients with OSA undergoing endoscopy to determine whether the presence of OSA increases post-procedure complications...
March 2016: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/26056506/intra-adenoid-cyst-a-case-report-with-an-immunohistochemical-study-and-review-of-literature
#7
Yuma Matsumoto, Hidenori Yokoi, Tetsuya Ikeda, Masachika Fujiwara, Hiroshi Kamma, Naoyuki Kohno
A woman in her 50s was referred to our department with the chief complaint of nasal congestion and pharyngeal discomfort. The patient had been diagnosed with sleep apnea at the Department of Internal Medicine, and had undergone nasal continuous positive airway pressure (nCPAP) therapy, but her response to the treatment was poor. A cystic lesion occupying the nasopharynx, which was detected by nasopharyngeal fiberscopy, computed tomography, and magnetic resonance imaging, was thought to be the cause of the nasal congestion, pharyngeal discomfort, and obstructive sleep apnea syndrome (OSAS)...
2015: Clinical Medicine Insights. Case Reports
https://www.readbyqxmd.com/read/25780462/doxapram-hastens-the-recovery-following-total-intravenous-anesthesia-with-dexmedetomidine-propofol-and-remifentanil
#8
Huan-Liang Wang, Shu-Hai Tang, Xue-Qin Wang, Wen-Hua Gong, Xiao-Mei Liu, Wei-Fu Lei
Dexmedetomidine is a suitable sedative for awake fiberoptic intubation in patients with obstructive sleep apnea (OSA). However, previous studies have shown that dexmedetomidine delays recovery from propofol-remifentanil anesthesia. This study aimed to determine whether doxapram may hasten the recovery following dexmedotomidine-propofol-remifentanil anesthesia. Sixty patients scheduled for uvulopalatopharyngoplasty with total intravenous anesthesia were randomized to two groups according to the medicine given at the end of surgery...
April 2015: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/25643763/perioperative-management-of-obstructive-sleep-apnea-a-survey-of-puerto-rico-anesthesia-providers
#9
Francisco Del Olmo-Arroyo, Ricardo Hernandez-Castillo, Antonio Soto, Juancarlo Martínez, William Rodríguez-Cintrón
BACKGROUND: Obstructive sleep apnea (OSA) prevalence has been increasing in the past years adding significant morbidity. Perioperative management is controversial and few studies have addressed this matter. The American Society of Anesthesiology (ASA) and the American Academy of Sleep Medicine (AASM) have developed clinical practice guidelines for the perioperative management of patients with OSA. Existing evidence suggest an increase in early postoperative complications in patients with OSA...
December 2015: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/24859484/european-position-paper-on-drug-induced-sedation-endoscopy-dise
#10
Andrea De Vito, Marina Carrasco Llatas, Agnoletti Vanni, Marcello Bosi, Alberto Braghiroli, Aldo Campanini, Nico de Vries, Evert Hamans, Winfried Hohenhorst, Bhik T Kotecha, Joachim Maurer, Filippo Montevecchi, Ottavio Piccin, Giovanni Sorrenti, Olivier M Vanderveken, Claudio Vicini
BACKGROUND: Although drug-induced sedation endoscopy (DISE) represents the most widespread diagnostic tool for upper airway endoscopic evaluation of snoring and obstructive sleep apnea hypopnea syndrome (OSAHS), many controversies exist about how to perform the sedation, the indications for DISE, and how to report DISE findings. The present position paper reports on a consensus as proposed by a group of European experts in the field of DISE after discussion during a recent dedicated meeting...
September 2014: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/23673871/society-of-anesthesia-and-sleep-medicine-proceedings-of-2012-annual-meeting
#11
Roop Kaw, Babak Mokhlesi, Frances Chung, Peter Gay, Norman Bolden, David Hillman
INTRODUCTION: We present the proceedings of the second annual meeting of the Society of Anesthesia and Sleep Medicine. The theme of the meeting was "Anesthesia and Sleep Medicine: What Every Health Professional Needs to Know." DISCUSSION: While upper airway obstruction during sleep and anesthesia received concentrated attention, with particular regard to perioperative assessment and managment of obstuctive sleep apnea, a diversity of issues were raised including: the genetic basis for variations in ventilatory control; shared charactertics of sleep and anesthesia; hazards posed by narcotic use in patients with obstructive sleep apnea (OSA); the respiratory complication that follow surgery in such patients; who amongst them is suitable for ambulatory surgery; and the special circumstances that apply to anesthesia for children with OSA...
December 2013: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/23066360/cpap-adherence-in-patients-with-newly-diagnosed-obstructive-sleep-apnea-prior-to-elective-surgery
#12
Amy S Guralnick, Melissa Pant, Mohammed Minhaj, Bobbie Jean Sweitzer, Babak Mokhlesi
BACKGROUND: Obstructive sleep apnea (OSA) is prevalent in the surgical population, and it has been suggested that preoperative patients should be screened and treated for OSA. However, it remains unclear whether patients diagnosed with OSA in the preoperative period adhere to prescribed CPAP therapy. OBJECTIVE: Our aim was to objectively quantify CPAP adherence, investigate predictors of poor CPAP adherence, and to establish an optimal CPAP setting in a cohort of presurgical patients diagnosed with OSA as part of the preoperative work-up...
October 15, 2012: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/21868464/postoperative-complications-in-patients-with-obstructive-sleep-apnea
#13
Roop Kaw, Vinay Pasupuleti, Esteban Walker, Anuradha Ramaswamy, Nancy Foldvary-Schafer
BACKGROUND: Unrecognized obstructive sleep apnea (OSA) is associated with unfavorable perio-perative outcomes among patients undergoing noncardiac surgery (NCS). METHODS: The study population was chosen from 39,771 patients who underwent internal medicine preoperative assessment between January 2002 and December 2006. Patients undergoing NCS within 3 years of polysomnography (PSG) were considered for the study, whereas those < 18 years of age, with a history of upper airway surgery, or who had had minor surgery under local or regional anesthesia were excluded...
February 2012: Chest
https://www.readbyqxmd.com/read/21676944/clinical-practice-guideline-polysomnography-for-sleep-disordered-breathing-prior-to-tonsillectomy-in-children
#14
Peter S Roland, Richard M Rosenfeld, Lee J Brooks, Norman R Friedman, Jacqueline Jones, Tae W Kim, Siobhan Kuhar, Ron B Mitchell, Michael D Seidman, Stephen H Sheldon, Stephanie Jones, Peter Robertson
OBJECTIVE: This guideline provides otolaryngologists with evidence-based recommendations for using polysomnography in assessing children, aged 2 to 18 years, with sleep-disordered breathing and are candidates for tonsillectomy, with or without adenoidectomy. Polysomnography is the electrographic recording of simultaneous physiologic variables during sleep and is currently considered the gold standard for objectively assessing sleep disorders. PURPOSE: There is no current consensus or guideline on when children 2 to 18 years of age, who are candidates for tonsillectomy, are recommended to have polysomnography...
July 2011: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/20181319/obesity-in-pregnancy
#15
REVIEW
Gregory A L Davies, Cynthia Maxwell, Lynne McLeod, Robert Gagnon, Melanie Basso, Hayley Bos, Marie-France Delisle, Dan Farine, Lynda Hudon, Savas Menticoglou, William Mundle, Lynn Murphy-Kaulbeck, Annie Ouellet, Tracy Pressey, Anne Roggensack, Dean Leduc, Charlotte Ballerman, Anne Biringer, Louise Duperron, Donna Jones, Lily Shek-Yun Lee, Debra Shepherd, Kathleen Wilson
OBJECTIVE: To review the evidence and provide recommendations for the counselling and management of obese parturients. OUTCOMES: Outcomes evaluated include the impact of maternal obesity on the provision of antenatal and intrapartum care, maternal morbidity and mortality, and perinatal morbidity and mortality. EVIDENCE: Literature was retrieved through searches of Statistics Canada, Medline, and The Cochrane Library on the impact of obesity in pregnancy on antepartum and intrapartum care, maternal morbidity and mortality, obstetrical anaesthesia, and perinatal morbidity and mortality...
February 2010: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/19396068/update-on-best-practice-recommendations-for-anesthetic-perioperative-care-and-pain-management-in-weight-loss-surgery-2004-2007
#16
Roman Schumann, Stephanie B Jones, Bronwyn Cooper, Scott D Kelley, Mark Vanden Bosch, Vilma E Ortiz, Kathleen A Connor, Michael D Kaufman, Alan M Harvey, Daniel B Carr
To reevaluate and update evidence-based best practice recommendations published in 2004 for anesthetic perioperative care and pain management in weight loss surgery (WLS), we performed a systematic search of English-language literature on anesthetic perioperative care and pain management in WLS published between April 2004 and May 2007 in MEDLINE and the Cochrane Library. We identified relevant abstracts by using key words, retrieved full text articles, and stratified the resulting evidence according to systems used in established evidence-based models...
May 2009: Obesity
https://www.readbyqxmd.com/read/18997522/preoperative-screening-evaluation-and-optimization-of-the-patient-s-medical-status-before-outpatient-surgery
#17
REVIEW
Bobbie Jean Sweitzer
PURPOSE OF THE REVIEW: Preoperative evaluation and optimization of a patient's medical condition are important components of anesthesia practice. With ever increasing numbers of patients with serious comorbidities having complex procedures as outpatients, the task of gathering information and properly preparing for their care is challenging. Improvements in assessment and management can potentially reduce adverse events, improve patient and caregiver satisfaction, and reduce costs. RECENT FINDINGS: A growing body of literature and evidence-based practices and guidelines can assist clinicians who work in the expanding field of preoperative medicine...
December 2008: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/18946427/high-risk-patients-in-day-surgery
#18
REVIEW
G Bettelli
Day surgery (DS) is continuously expanding due to both economic pressure and improvement in surgery and anesthesia. In the 1970s, only healthy patients undergoing simple procedures were accepted. Subsequent studies demonstrated that mortality and major morbidity are rare. Complicated patients are now considered suitable for DS in the current clinical practice. The aim of this article is to discuss the concept of risk evaluation in DS and to examine potentially risky situations. The outcomes that should be considered are intermediate and late outcomes, such as unplanned admission or return to hospital...
May 2009: Minerva Anestesiologica
https://www.readbyqxmd.com/read/17949575/-importance-of-the-obstructive-sleep-apnea-disorder-for-perioperative-medicine
#19
REVIEW
Alfredo Covarrubias-Gómez, Uriah Guevara-López, Reyes Haro-Valencia, Mariela Alvarado-Suárez
Obstructive sleep apnea (OSA) is a common sleep-related disorder among the general population. This disorder occurs in all sleep stages, although is more intense during the REM sleep (rapid eye movement). In this stage appears generalized muscle atony, which includes the hypopharyngeal muscles; this causes narrowing of the upper airway lumen, difficult inside/outside air movement and mechanical obstruction. OSA is considered a risk for: a) difficult airway intubation/ventilation; b) increase of cardiovascular morbidity; c) development of hypoxia and hypercarbia during spontaneous or assisted ventilation techniques...
July 2007: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/15470165/patient-selection-in-ambulatory-anesthesia-an-evidence-based-review-part-i
#20
REVIEW
Gregory L Bryson, Frances Chung, Barry A Finegan, Zeev Friedman, Donald R Miller, Janet van Vlymen, Robin G Cox, Marie-Josée Crowe, John Fuller, Cynthia Henderson
PURPOSE: To identify and characterize the evidence supporting decisions made in the care of patients with selected medical conditions undergoing ambulatory anesthesia and surgery. Conditions highlighted in this review include: the elderly, heart transplantation, hyper-reactive airway disease, coronary artery disease, and obstructive sleep apnea. SOURCE: A structured search of MEDLINE (1966-2003) was performed using keywords for ambulatory surgery and patient condition...
October 2004: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
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