keyword
Keywords Obstructive sleep apnea sleep ...

Obstructive sleep apnea sleep medicine anesthesia

https://read.qxmd.com/read/35393936/incidence-and-risk-factors-of-chronic-opioid-use-after-sleep-apnea-surgery
#21
JOURNAL ARTICLE
Mohamed Abdelwahab, Sandro Marques, Javier Howard, Allen Huang, Matt Lechner, Cristen Olds, Robson Capasso
STUDY OBJECTIVES: To assess the incidence and risk factors of chronic opioid use after OSA surgery. METHODS: Using IBM MarketScan research database, adults (>18) who underwent a variety of sleep surgery procedures between 2007 and 2015, were identified. Subjects with one year of insurance coverage before and after the surgical procedure were included. Additional anesthesia event(s) in the year following the procedure of interest, and those who filled an opioid prescription within the year prior to surgery (not naïve) were excluded...
April 11, 2022: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://read.qxmd.com/read/35139622/the-effects-of-backward-upward-rightward-pressure-maneuver-for-intubation-using-the-optiscopetm-a-retrospective-study
#22
JOURNAL ARTICLE
Sei-Hoon Oh, Sang-Kwon Heo, Seung-Uk Cheon, Seung-Ah Ryu
BACKGROUND: The OptiscopeTM and the backward, upward, rightward pressure (BURP) maneuver are widely used in clinical practice because the BURP maneuver facilitates intubation by improving visualization of the larynx. However, the effect of the BURP maneuver is unclear when using the OptiscopeTM. Therefore, we retrospectively investigated the effect of the BURP maneuver on intubation using the OptiscopeTM. METHODS: Sixty-eight patients intubated with the OptiscopeTM were enrolled...
October 2021: Anesthesia and pain medicine
https://read.qxmd.com/read/35139614/awake-craniotomy-using-a-high-flow-nasal-cannula-with-oxygen-reserve-index-monitoring-a-report-of-two-cases
#23
Joonhee Gook, Ji-Hye Kwon, Keoungah Kim, Jung Won Choi, Ik Soo Chung, Jeonjin Lee
BACKGROUND: Awake craniotomy is a well-tolerated procedure for the resection of brain tumors residing within or close to the eloquent cortical areas. Monitored anesthesia care (MAC) is a dominant anesthetic approach for awake craniotomy; however, it is associated with inherent challenges such as desaturation and hypercapnia, which may lead to various complications. The prevention of respiratory insufficiency is important for successful awake craniotomy. As measures to avoid respiratory depression, the use of high-flow nasal cannula (HFNC) can improve patient oxygenation and monitor the monitoring the oxygen reserve index (ORi) can detect hypoxia earlier...
October 2021: Anesthesia and pain medicine
https://read.qxmd.com/read/35091903/periocular-manifestation-of-obstructive-sleep-apnea-as-a-novel-perioperative-screening-tool
#24
JOURNAL ARTICLE
Megan Folsom, James Gigantelli, Brent Timperley, Kurtis Johnson, Danstan Bagenda, Huiling Pang, Sheila Ellis
PURPOSE: Obstructive sleep apnea (OSA) presents perioperative challenges with increased risk for complications. Floppy eyelid syndrome (FES) is associated with OSA yet has not been addressed perioperatively. The current standard for perioperative OSA screening includes assessing patient risk factors or the STOP-BANG tool, which requires an active participant. We aimed to confirm a connection between FES and OSA in presurgical patients and develop a screening method appropriate for patients with perioperative OSA risk...
April 2022: Obesity Surgery
https://read.qxmd.com/read/34899001/use-of-cpap-machines-in-the-perioperative-setting-in-ambulatory-surgical-centers
#25
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/34289296/the-correlation-between-the-stop-bang-score-and-oxygen-saturation-during-spinal-anesthesia-with-dexmedetomidine-sedation
#26
JOURNAL ARTICLE
Minsu Yun, Jiwook Kim, Sungwon Ryu, Seo Han, Yusom Shin
BACKGROUND: The STOP-Bang questionnaire is a simple screening tool with high sensitivity for the detection of severe obstructive sleep apnea. Predicting airway obstruction would allow the safe management of sedative patients to prevent intraoperative hypoxia. This study was designed to check the correlation between the STOP-Bang score and oxygen saturation (SpO2) during sedation and confirm the availability of the STOP-Bang questionnaire as a preoperative exam for predicting the incidence of hypoxia in sedative patient management...
July 2021: Anesthesia and pain medicine
https://read.qxmd.com/read/34190615/management-of-anesthesia-in-a-patient-with-osteogenesis-imperfecta-and-multiple-fractures-a-case-report-and-review-of-the-literature
#27
REVIEW
Huiyue Wang, Xiao Huang, Anshi Wu, Qianyu Li
Patients with osteogenesis imperfecta (OI) usually also show osteoporosis and bone fragility. Because these defects may also be combined with an airway that is difficult to manage, abnormal platelet function, and other problems, the perioperative management of anesthesia represents a substantial challenge. Therefore, it is important to be able to predict the risks during the perioperative period and to formulate and implement specific high-quality anesthesia management plans for such patients when they experience trauma...
June 2021: Journal of International Medical Research
https://read.qxmd.com/read/33857971/integrating-sleep-knowledge-into-the-anesthesiology-curriculum
#28
REVIEW
Mandeep Singh, Bhargavi Gali, Mark Levine, Kingman Strohl, Dennis Auckley
There is common ground between the specialties of anesthesiology and sleep medicine. Traditional sleep medicine curriculum for anesthesiology trainees has revolved around the discussion of obstructive sleep apnea (OSA) and its perioperative management. However, it is time to include a broader scope of sleep medicine-related topics that overlap these specialties into the core anesthesia residency curriculum. Five main core competency domains are proposed, including SLeep physiology; Evaluation of sleep health; Evaluation for sleep disorders and clinical implications; Professional and academic roles; and WELLness (SLEEP WELL)...
May 1, 2021: Anesthesia and Analgesia
https://read.qxmd.com/read/33857964/identification-of-sleep-medicine-and-anesthesia-core-topics-for-anesthesia-residency-a-modified-delphi-technique-survey
#29
JOURNAL ARTICLE
Linor Berezin, Mahesh Nagappa, Jean Wong, Jefferson Clivatti, Mandeep Singh, Dennis Auckley, Jean G Charchaflieh, Malin Jonsson Fagerlund, Bhargavi Gali, Girish P Joshi, Frank J Overdyk, Michael Margarson, Babak Mokhlesi, Tiffany Moon, Satya K Ramachandran, Clodagh M Ryan, Roman Schumann, Toby N Weingarten, Christine H J Won, Frances Chung
BACKGROUND: Sleep disorders affect up to 25% of the general population and are associated with increased risk of adverse perioperative events. The key sleep medicine topics that are most important for the practice of anesthesiology have not been well-defined. The objective of this study was to determine the high-priority sleep medicine topics that should be included in the education of anesthesia residents based on the insight of experts in the fields of anesthesia and sleep medicine...
May 1, 2021: Anesthesia and Analgesia
https://read.qxmd.com/read/33832154/supraglottic-foreign-body-in-a-woman-with-down-s-syndrome-and-congenital-heart-disease-a-case-report
#30
JOURNAL ARTICLE
Yuchao Liu, Zijia Liu, Yang Zha, Xuerong Yu
RATIONALE: An impacted foreign body (FB) in the larynx of an adult is a rare but potentially life-threatening occurrence. Patients with Down's syndrome (DS) are vulnerable to airway FB. However, the anesthesia for FB removal can be challenging. This report describes a case in which a FB was impacted between the vestibular folds in an adult with DS, congenital heart disease, and a difficult airway. PATIENT CONCERNS: A 41-year-old woman swallowed a piece of sharp-tipped wooden skewer presented with a sudden onset of aphonia, dysphagia, and an acute sore throat without respiratory difficulty...
April 9, 2021: Medicine (Baltimore)
https://read.qxmd.com/read/33766684/a-rare-complication-of-continuous-positive-airway-pressure-treatment-rectus-sheath-hematoma-a-case-report
#31
Adnan Yamanoğlu, Serkan Bilgin, Nalan Gokce Celebi Yamanoğlu, Fatih Esad Topal
Noninvasive mechanical ventilation (NIMV) has a relevant role in the treatment of critically ill patients displaying severe dyspnea. Continuous positive airway pressure (CPAP), a method of NIMV, is also widely used in the management of acute heart failure, chronic obstructive pulmonary disease (COPD) exacerbation, and symptomatic sleep apnea. However, numerous traumatic complications of CPAP treatment in the face region, head, and thorax have been reported and may be related to the application of a continuous positive high pressure to the airway...
July 2021: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/33623866/the-effects-of-acute-hypoxia-on-audition-an-experimental-study
#32
JOURNAL ARTICLE
Mehmet Turan Cicek, Cigdem Firat Koca, Mustafa Akarcay
OBJECTIVE: Obstructive sleep apnea syndrome (OSAS) is a health problem that has increasing importance in society. In the literature, many studies about an audition in patients with OSAS are present. In this study, the effects of hypoxia on an audition that develop during the apnea attacks in OSAS were investigated experimentally. METHODS: This study was conducted in Inonu University Audiology Laboratory after the approval of Inonu University Faculty of Medicine Experimental Animal Research Ethics Committee (Protocol Number: 2011/A-102)...
2021: Northern Clinics of Istanbul
https://read.qxmd.com/read/33565898/an-algorithm-for-the-sedation-of-patients-with-obstructive-sleep-apnea-by-non-anesthesiologists
#33
JOURNAL ARTICLE
Richard M Pino, Peter F Dunn, Robert M Kacmarek, Ruth J Bryan, Luca M Bigatello
OBJECTIVE: Patients with obstructive sleep apnea (OSA) are at risk for adverse events when moderate sedation is administered by nurse protocols (NAMS) under the guidance of non-anesthesiologists. An algorithm was applied for the appropriate section of patients to receive NAMS and the application of continuous positive airway pressure (CPAP). METHODS: An algorithm was developed for patients with OSA who were scheduled for gastroenterology, radiology, and cardiology procedures using NAMS...
April 2021: Current Medical Research and Opinion
https://read.qxmd.com/read/32925320/postoperative-critical-events-associated-with-obstructive-sleep-apnea-results-from-the-society-of-anesthesia-and-sleep-medicine-obstructive-sleep-apnea-registry
#34
JOURNAL ARTICLE
Norman Bolden, Karen L Posner, Karen B Domino, Dennis Auckley, Jonathan L Benumof, Seth T Herway, David Hillman, Shawn L Mincer, Frank Overdyk, David J Samuels, Lindsay L Warner, Toby N Weingarten, Frances Chung
BACKGROUND: Obstructive sleep apnea (OSA) patients are at increased risk for pulmonary and cardiovascular complications; perioperative mortality risk is unclear. This report analyzes cases submitted to the OSA Death and Near Miss Registry, focusing on factors associated with poor outcomes after an OSA-related event. We hypothesized that more severe outcomes would be associated with OSA severity, less intense monitoring, and higher cumulative opioid doses. METHODS: Inclusion criteria were age ≥18 years, OSA diagnosed or suspected, event related to OSA, and event occurrence 1992 or later and <30 days postoperatively...
October 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/32675639/postoperative-critical-events-associated-with-obstructive-sleep-apnea-results-from-the-society-of-anesthesia-and-sleep-medicine-obstructive-sleep-apnea-registry
#35
JOURNAL ARTICLE
Norman Bolden, Karen L Posner, Karen B Domino, Dennis Auckley, Jonathan L Benumof, Seth T Herway, David Hillman, Shawn L Mincer, Frank Overdyk, David J Samuels, Lindsay L Warner, Toby N Weingarten, Frances Chung
BACKGROUND: Obstructive sleep apnea (OSA) patients are at increased risk for pulmonary and cardiovascular complications; perioperative mortality risk is unclear. This report analyzes cases submitted to the OSA Death and Near Miss Registry, focusing on factors associated with poor outcomes after an OSA-related event. We hypothesized that more severe outcomes would be associated with OSA severity, less intense monitoring, and higher cumulative opioid doses. METHODS: Inclusion criteria were age ≥18 years, OSA diagnosed or suspected, event related to OSA, and event occurrence 1992 or later and <30 days postoperatively...
July 14, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/29944522/society-of-anesthesia-and-sleep-medicine-guideline-on-intraoperative-management-of-adult-patients-with-obstructive-sleep-apnea
#36
JOURNAL ARTICLE
Stavros G Memtsoudis, Crispiana Cozowicz, Mahesh Nagappa, Jean Wong, Girish P Joshi, David T Wong, Anthony G Doufas, Meltem Yilmaz, Mark H Stein, Megan L Krajewski, Mandeep Singh, Lukas Pichler, Satya Krishna Ramachandran, Frances Chung
The purpose of the Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea (OSA) is to present recommendations based on current scientific evidence. This guideline seeks to address questions regarding the intraoperative care of patients with OSA, including airway management, anesthetic drug and agent effects, and choice of anesthesia type. Given the paucity of high-quality studies with regard to study design and execution in this perioperative field, recommendations were to a large part developed by subject-matter experts through consensus processes, taking into account the current scientific knowledge base and quality of evidence...
October 2018: Anesthesia and Analgesia
https://read.qxmd.com/read/29481438/research-needs-assessment-for-children-with-obstructive-sleep-apnea-undergoing-diagnostic-or-surgical-procedures
#37
JOURNAL ARTICLE
Kimmo T Murto, Wesley Chen, Sherri L Katz, Deborah A Schwengel, Lisa M Elden, Kumar G Belani, David Gozal
Recent concerns have been raised about the quality and safety of adenotonsillectomy, a common surgery performed to treat obstructive sleep apnea (OSA) in children. OSA is a risk factor for opioid-related perioperative respiratory complications including those associated with anoxic brain injury or death. Our objective was to identify controversial issues related to the care of children with OSA. A standardized Delphi consensus technique involving an interdisciplinary group of 24 pediatric OSA experts identified 3 key issues: "postoperative disposition, preoperative screening, and pain management...
July 2018: Anesthesia and Analgesia
https://read.qxmd.com/read/29120932/an-update-on-preoperative-assessment-and-preparation-of-surgical-patients-with-obstructive-sleep-apnea
#38
REVIEW
Poorna Madhusudan, Jean Wong, Arun Prasad, Elena Sadeghian, Frances F Chung
PURPOSE OF REVIEW: There is a high prevalence of obstructive sleep apnea (OSA) in the surgical population, however, a significant proportion of patients are undiagnosed. The Society of Anesthesia and Sleep Medicine (SASM) has issued recent guidelines for preoperative assessment and preparation of patients with known or suspected OSA. The purpose of this review is to highlight key points in the new guidelines and explore the possibilities of different strategies in optimizing patients with OSA preoperatively...
February 2018: Current Opinion in Anaesthesiology
https://read.qxmd.com/read/28121644/peripartum-management-of-obstructive-sleep-apnea
#39
JOURNAL ARTICLE
Jessica M Booth, Ashley M Tonidandel
The prevalence of obstructive sleep apnea is unknown during pregnancy, but the syndrome is likely underdiagnosed and rising in frequency along with the obesity epidemic. Obstructive sleep apnea is associated with adverse outcomes, including hypertensive disorders of pregnancy, gestational diabetes, preterm, and cesarean delivery. Obese pregnant women should be screened and referred to a sleep medicine specialist for evaluation. Continuous positive airway pressure is the treatment of choice with demonstrated safety and compliance in pregnancy...
June 2017: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/27898430/an-update-on-the-various-practical-applications-of-the-stop-bang-questionnaire-in-anesthesia-surgery-and-perioperative-medicine
#40
REVIEW
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...
February 2017: Current Opinion in Anaesthesiology
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