Features  |   July 2017
Evidence-based Review and Recommendations for Intraoperative Management of Patients With Sleep Apnea
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Central and Peripheral Nervous Systems / Respiratory System / Sleep Medicine / Features
Features   |   July 2017
Evidence-based Review and Recommendations for Intraoperative Management of Patients With Sleep Apnea
ASA Monitor 07 2017, Vol.81, 14-15.
ASA Monitor 07 2017, Vol.81, 14-15.
More than a decade after the first publication of ASA’s Practice Guidelines for the Perioperative Management of Patients with Obstructive Sleep Apnea,1  the approach to patients with suspected or diagnosed obstructive sleep apnea (OSA) remains a topic of intense debate. To date, significant energy and focus has gone into the recognition of OSA as a perioperative risk factor for complications and adverse events.2  Also, a number of expert groups have attempted to guide clinicians in the perioperative care of patients with OSA, with considerable focus on preoperative screening and post-operative management. However, evidence-based approaches to the anesthetic care of this patient population remain unclear. Thus, guidance in respect to intraoperative management specific to patients with OSA with the goal to optimize outcomes has received less attention. It is therefore not surprising that real-world practice variability in our approach to patients with sleep apnea remains vast3  and attitudes among perioperative physicians representing different specialties non-uniform.4  Moreover, it appears that, to date, the majority of hospitals do not have written protocols on institutional pathways for the perioperative management of OSA patients.4  Therefore, with increasing prevalence of OSA,5  there is an urgent need for an evidence-based practice consensus that proves feasible in a highly dynamic health care environment.
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