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Don't Ignore My Snore: Reducing Perioperative Complications of Obstructive Sleep Apnea.

PURPOSE: Obstructive sleep apnea (OSA), a condition associated with decreased muscle tone in the airway, has been linked to postoperative complications. The purpose of the initiative was to develop and implement a guideline for patients identified as high-risk for OSA to reduce complications related to OSA.

DESIGN: A multidisciplinary team developed the guideline utilizing the Iowa Model of Evidence-Based Practice to Promote Quality Care.

METHODS: PubMed literature search from 2006-2013 and critique of over 40 articles were completed. A nursing care plan was created from the guideline to facilitate communication of care for this population.

FINDINGS: Postoperative cardiopulmonary complications related to OSA decreased from 27% to 14.6% after guideline implementation.

CONCLUSIONS: Guideline and nursing care plan specific to OSA in the perioperative setting improved patient outcomes.

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