Perioperative issues and sleep-disordered breathing

Karen L Wood; Beth Y Besecker

doi:10.1016/j.ccc.2015.03.008

Perioperative issues and sleep-disordered breathing

Crit Care Clin. 2015 Jul;31(3):497-510. doi: 10.1016/j.ccc.2015.03.008.

Authors

Karen L Wood¹, Beth Y Besecker²

Affiliations

¹ Department of Internal Medicine, Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, The Wexner Medical Center at The Ohio State University, Columbus, OH, USA. Electronic address: Karen.Wood@osumc.edu.
² Department of Internal Medicine, Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, The Wexner Medical Center at The Ohio State University, Columbus, OH, USA.

PMID: 26118917
DOI: 10.1016/j.ccc.2015.03.008

Abstract

Sleep-disordered breathing in the perioperative setting poses an increase in both perceived and demonstrated challenges for health care providers. Some of these challenges relate to identifying patients at high risk for obstructive sleep apnea prior to surgery. Other management challenges include identifying the proper monitoring techniques, using the correct mix of pharmacologic and nonpharmacologic strategies to manage these patients, and identifying the proper and safe disposition strategy after surgery. Additional populations, such as pediatrics and the morbidly obese, are also highlighted, which may help address questions in populations that are frequently managed in the critical care setting postoperatively.

Keywords: Anesthesia; Obstructive sleep apnea; Perioperative; Sleep-disordered breathing.

Publication types

Review

MeSH terms

Airway Obstruction / diagnosis
Critical Care
Elective Surgical Procedures
Humans
Obesity, Morbid / surgery
Perioperative Care*
Postoperative Complications
Prevalence
Risk Factors
Sleep Apnea, Obstructive* / complications
Sleep Apnea, Obstructive* / diagnosis
Sleep Apnea, Obstructive* / physiopathology