Trends in Perioperative Practice and Resource Utilization in Patients With Obstructive Sleep Apnea Undergoing Joint Arthroplasty

Anesthesia and Analgesia
Crispiana CozowiczStavros G Memtsoudis

Abstract

Emerging evidence associating obstructive sleep apnea (OSA) with adverse perioperative outcomes has recently heightened the level of awareness among perioperative physicians. In particular, estimates projecting the high prevalence of this condition in the surgical population highlight the necessity of the development and adherence to "best clinical practices." In this context, a number of expert panels have generated recommendations in an effort to provide guidance for perioperative decision-making. However, given the paucity of insights into the status of the implementation of recommended practices on a national level, we sought to investigate current utilization, trends, and the penetration of OSA care-related interventions in the perioperative management of patients undergoing lower joint arthroplasties. In this population-based analysis, we identified 1,107,438 (Premier Perspective database; 2006-2013) cases of total hip and knee arthroplasties and investigated utilization and temporal trends in the perioperative use of regional anesthetic techniques, blood oxygen saturation monitoring (oximetry), supplemental oxygen administration, positive airway pressure therapy, advanced monitoring environments, and opioid prescription ...Continue Reading

References

Jun 1, 1992·Journal of Clinical Epidemiology·R A DeyoM A Ciol
May 1, 1989·Statistics in Medicine·S Durrleman, R Simon
Nov 1, 1993·Anesthesia and Analgesia·H Kehlet, J B Dahl
Oct 27, 1999·JAMA : the Journal of the American Medical Association·M D CabanaH R Rubin
Jul 20, 2001·British Journal of Anaesthesia·D Pogson, S Johnston
Sep 28, 2001·British Journal of Anaesthesia·J A Loadsman, D R Hillman
Mar 22, 2006·Respirology : Official Journal of the Asian Pacific Society of Respirology·Walter T McNicholas, Silke Ryan
Jan 2, 2007·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Daniel CottamPhilip Schauer
Sep 24, 2009·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Pu LiaoFrances Chung
Nov 18, 2010·Anesthesia and Analgesia·Stavros MemtsoudisMadhu Mazumdar
May 31, 2011·Anesthesiology Clinics·Kishor GandhiEugene R Viscusi
Jul 24, 2012·Sleep & Breathing = Schlaf & Atmung·M Jeffery MadorMohammed Abo-Khamis
Sep 8, 2012·British Journal of Anaesthesia·R KawA V Hernandez
Oct 16, 2012·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Amy S GuralnickBabak Mokhlesi
Apr 6, 2013·Regional Anesthesia and Pain Medicine·Stavros G MemtsoudisMadhu Mazumdar
Apr 25, 2013·Anesthesiology·Stavros G MemtsoudisNigel E Sharrock
Jun 19, 2013·Journal of the American College of Cardiology·Luciano F DragerGeraldo Lorenzi-Filho
Feb 11, 2014·Regional Anesthesia and Pain Medicine·Stavros G MemtsoudisVassilios Vougioukas
Jun 29, 2014·Sleep & Breathing = Schlaf & Atmung·Dennis AuckleyJ Daryl Thornton
Dec 3, 2014·Journal of Clinical Anesthesia·Faizi HaiAli A El-Solh
Jun 3, 2015·Hand : Official Journal of the American Association for Hand Surgery·Amar A PatelMorad Askari
Jul 23, 2015·Anesthesiology·Daniel I McIsaacCarl van Walraven
Sep 4, 2015·Therapeutic Advances in Chronic Disease·Lucia SpicuzzaGiuseppe Di Maria
Oct 16, 2015·Chest·Frances ChungBabak Mokhlesi
Oct 21, 2015·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Ligia CordovaniUNKNOWN Canadian Perioperative Anesthesia Clinical Trials Group
Mar 22, 2016·American Journal of Obstetrics and Gynecology·Brian T BatemanNiteesh K Choudhry

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Citations

Jun 30, 2018·Anesthesia and Analgesia·Crispiana CozowiczStavros G Memtsoudis
Jul 14, 2019·Regional Anesthesia and Pain Medicine·Jiabin LiuStavros Memtsoudis
Aug 29, 2018·American Journal of Obstetrics and Gynecology·Jean-Ju SheenAlexander M Friedman
Apr 16, 2021·Anesthesia and Analgesia·Crispiana Cozowicz, Stavros G Memtsoudis
Apr 16, 2021·Anesthesia and Analgesia·Mandeep SinghDennis Auckley

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