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Is overnight monitoring required for adult patients undergoing surgery for obstructive sleep apnea?
Author(s) -
Rotenberg Brian,
Theriault Jenna,
Pang Kenny
Publication year - 2011
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.21729
Subject(s) - medicine , obstructive sleep apnea , anesthesiology , perioperative , respiratory monitoring , surgery , anesthesia , sleep apnea , respiratory system
BACKGROUND Multilevel surgery for obstructive sleep apnea (OSA) carries a theoretical risk of postoperative respiratory complications. In the recent past, OSA surgery was carried out with planned postoperative intensive care monitoring; however, there is a contemporary trend toward less acute postoperative care environments, or even to outpatient surgery, for many of these patients. This trend, however, was confounded by the 2006 OSA perioperative management guidelines published by the American Society of Anesthesiology suggesting that the incidence of respiratory complications after OSA surgery was relatively high (>10%), and that all patients undergoing surgery for OSA should have continuous overnight oxygen saturation monitoring after surgery. It remains controversial what level of monitoring after OSA surgery is the most appropriate, both in terms of patient management and sound resource allocation.