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Obstructive sleep apnea syndrome(OSAS), is defined as at least five apneas and/or hypopneas per hour in association with symptoms attributable to sleep disordered breathing. Recent epidemiologic data have placed the prevalence of OSAS at about 5% among the Western countries. The prevalence in patients presenting to surgery has been estimated to be 1-9%, though it may be even more common in certain populations. It is notable that the majority of these individuals have not been diagnosed. As such, patients with sleep apnea may present for surgery without a prior diagnosis. Adverse surgical outcomes appear to be more frequent in patients with known OSAS. Therefore, early identification of this disorder in the surgical patient is important as it may allow for specific interventions that could improve postoperative outcomes.

Unrecognized Sleep Apnea in the Surgical Patient: Implications for the Peri-operative Setting