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Sleep Apnea

Guiding Question:
What unique perioperative pulmonary complications are patients with sleep apnea at risk of developing?

 

Obstructive sleep apnea presents unique challenges for both the Anesthesiologist and the medical consultant in the perioperative period. Many of these patients have a variety of comorbidities that further increase their risk of perioperative complications. Over half of patients with OSA who present for surgery are undiagnosed. Vigilance for the possible presence of OSA is paramount.

 

Learning Objective:

  • Evaluate and manage patients with sleep apnea in the perioperative period  (R3)

 

Review case 4  for this section of the module.

 

Learning Resources:
Readings:

  1. Practice Guidelines for the Perioperative Management of Patients with Obstructive Sleep Apnea
  2. UpToDate chapter: Surgical Risk and the Preoperative Evaluation and Management of Adults with Obstructive Sleep Apnea
  3. UpToDate chapter: Postoperative Management of Adults with Obstructive Sleep Apnea

Videos: (total viewing time 18:23)

  1. Preoperative Evaluation of Adults with Sleep Apnea (9:58)
  2. Perioperative Management of Adults with Sleep Apnea (8:25)

Annotated PowerPoint Slides: (Note: To download the slides click “Save” at the top of the presentation. After downloading, click on “View” tab and view as “Notes Page”)

  1. Preoperative Evaluation of Adults with Sleep Apnea (10 slides)
  2. Perioperative Management of Adults with Sleep Apnea (7 slides)