Avoiding adverse outcomes in patients with obstructive sleep apnea (OSA): development and implementation of a perioperative OSA protocol

Norman Bolden; Charles E Smith; Dennis Auckley

doi:10.1016/j.jclinane.2008.08.023

Avoiding adverse outcomes in patients with obstructive sleep apnea (OSA): development and implementation of a perioperative OSA protocol

J Clin Anesth. 2009 Jun;21(4):286-93. doi: 10.1016/j.jclinane.2008.08.023. Epub 2009 Jun 6.

Authors

Norman Bolden¹, Charles E Smith, Dennis Auckley

Affiliation

¹ Department of Anesthesia, Case Western Reserve University School of Medicine, Cleveland, OH 44109, USA. nbolden@metrohealth.org

PMID: 19502040
DOI: 10.1016/j.jclinane.2008.08.023

Abstract

Obstructive sleep apnea (OSA) is associated with postoperative airway obstruction, hypoxemia, cardiac arrhythmias, cardiorespiratory arrest, hypoxic encephalopathy, and death. Three cases highlighting important issues in patients with OSA are presented that occurred prior to and after implementation of an OSA protocol.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Airway Obstruction / prevention & control
Fatal Outcome
Female
Humans
Male
Middle Aged
Obesity / complications
Perioperative Care / methods*
Postoperative Complications / prevention & control*
Sleep Apnea, Obstructive / complications*
Sleep Apnea, Obstructive / physiopathology