Perioperative care of patients with obstructive sleep apnea - a survey of Canadian anesthesiologists

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Kim TurnerWilliam Mackillop

Abstract

At present, there are no guidelines and insufficient evidence to guide the decision-making of anesthesiologists in the perioperative care of patients with obstructive sleep apnea (OSA). The purpose of this study was to examine the current perioperative care provided, and to obtain opinions from anesthesiologists regarding evidence/consensus based guidelines to assist them in providing care to patients with OSA. Canadian anesthesiologists were sent a postal questionnaire examining their opinions and perioperative care of patients with OSA. Respondents were asked to indicate the postoperative monitoring they would most likely select for two clinical scenarios, representing administration of a general and regional anesthetic, which was altered to reflect: treatment of OSA; use of postoperative opioids; presence of morbid obesity; and increased severity of OSA. The survey had a response rate of 70% (746/1,063). Sixty-seven percent of respondents provided perioperative care to one to five patients with OSA per month, and 72% reported not having departmental policies for care of OSA patients. Ninety-two percent reported asking patients about OSA preoperatively. There was >or= 75% respondent agreement in two of the five alterations of...Continue Reading

References

Apr 29, 1993·The New England Journal of Medicine·T YoungS Badr
Jul 20, 2001·British Journal of Anaesthesia·D Pogson, S Johnston
Sep 28, 2001·British Journal of Anaesthesia·J A Loadsman, D R Hillman
Feb 28, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Michael J JackaRobert Byrick
Aug 27, 2003·Sleep·Amy Lynn MeoliUNKNOWN Clinical Practice Review Committee, American Academy of Sleep Medicine
May 7, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Sharon Davies, Doreen Cleave-Hogg

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Citations

Sep 30, 2008·Thorax·A Malhotra, D Hillman
Dec 26, 2008·Anesthesia Progress·Hirofumi ArisakaKazu-ichi Yoshida
Sep 24, 2011·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Donna DolezalToni Mueller
Oct 21, 2015·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Ligia CordovaniUNKNOWN Canadian Perioperative Anesthesia Clinical Trials Group
Oct 23, 2010·Annales Françaises D'anesthèsie Et De Rèanimation·J-F PayenM Fischler
May 23, 2008·Sleep Medicine·Balaji Yegneswaran, Frances Chung
Jun 5, 2007·Journal of Cardiothoracic and Vascular Anesthesia·John E EllisKristen Kasza
Jun 29, 2014·Sleep & Breathing = Schlaf & Atmung·Dennis AuckleyJ Daryl Thornton
Nov 2, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Reena Dhanda Patil, Yash J Patil
Jun 30, 2018·Anesthesia and Analgesia·Crispiana CozowiczStavros G Memtsoudis
Oct 22, 2008·Anesthesia and Analgesia·Sharon A ChungFrances Chung
Apr 10, 2009·European Journal of Anaesthesiology·Olumuyiwa A BamgbadeNicholas M Tierney
Jun 19, 2009·Anesthesia and Analgesia·Deborah A SchwengelEugenie S Heitmiller
Jul 2, 2016·The European Respiratory Journal·Salim R Surani, Joseph Varon
Jan 22, 2014·Anesthesia and Analgesia·Stavros G MemtsoudisMadhu Mazumdar
Jul 23, 2015·Anesthesiology·Daniel I McIsaacCarl van Walraven
Dec 9, 2014·Hospital Practice·Bernardo J SelimKannan Ramar

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