Skip to main content

Obstructive Sleep Apnea (OSA) and Anesthesia

  • Chapter
  • First Online:
Anesthesia in High-Risk Patients
  • 1721 Accesses

Abstract

Obstructive sleep apnea (OSA) is a highly prevalent disease, characterized by upper airway collapse during sleep. Prevalence of OSA has risen with obesity, a major risk factor for developing the disease, and is much higher in patients undergoing elective surgery. OSA patients undergoing surgical process should be managed perioperatively developing an individual plan decreasing the risk of having postoperative complications in these patients. Proper history, screening, and diagnostic test should be used in order to identify patients with OSA syndrome and consider an adequate perioperative management and consider the use of CPAP therapy perioperatively, optimal opioid titration for postoperative pain control, and adequate monitoring in the PACU.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Mannarino MR, Di Filippo F, Pirro M. Obstructive sleep apnea syndrome. Eur J Intern Med. 2012;23:586–93.

    Article  PubMed  Google Scholar 

  2. Franklin KA, Lindberg E. Obstructive sleep apnea is a common disorder in the population, a review on the epidemiology of sleep apnea. J Thorac Dis. 2015;7(8):1311–22.

    PubMed  PubMed Central  Google Scholar 

  3. American Society of Anesthesiologists Task Force on Perioperative Management. Practice Guidelines for the Perioperative Management of Patients with Obstructive Sleep Apnea. An updated report by the American Society of Anesthesiologists Task Force on perioperative management of patients with obstructive sleep apnea. Anesthesiology. 2014;120(2):268–86.

    Article  Google Scholar 

  4. Rivas M, Ratra A, Nugen K. Obstructive sleep apnea and its effects on cardiovascular diseases: a narrative review. Anatol J Cardiol. 2015;15:944–50.

    Article  PubMed  Google Scholar 

  5. Vasu TS, Grewal R, Doghramji K. Obstructive sleep apnea syndrome and perioperative complications: a systematic review of the literature. J Clin Sleep Med. 2012;8(2):199–207.

    PubMed  PubMed Central  Google Scholar 

  6. Zaremba S, Mojica JE, Eikermann M. Perioperative sleep apnea: a real problem or did we invent a new disease? F1000Research. 2016;5(F1000 Faculty Rev):48.

    Google Scholar 

  7. Pham LV, Schwartz AR. The pathogenesis of obstructive sleep apnea. J Thorac Dis. 2015;7(8):1358–72.

    PubMed  PubMed Central  Google Scholar 

  8. Ankichetty SP, Angle P, Joselyn AS, Chinnappa V, Halpern S. Anesthetic considerations of parturients with obesity and obstructive sleep apnea. J Anaesthesiol Clin Pharmacol. 2012;28:436–4.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Dehlink E, Tan HL. Update on paediatric obstructive sleep apnoea. J Thorac Dis. 2016;8(2):224–35.

    PubMed  PubMed Central  Google Scholar 

  10. Ramar K, Dort LC, Katz SG, Lettieri CJ, Harrod CG, Thomas SM, Chervin RD. Clinical practice guideline for the treatment of obstructive sleep apnea and snoring with oral appliance therapy: an update for 2015. J Clin Sleep Med. 2015;11(7):773–82.

    PubMed  PubMed Central  Google Scholar 

  11. Stansbury RC, Strollo PJ. Clinical manifestations of sleep apnea. J Thorac Dis. 2015;7(9):E298–310.

    PubMed  PubMed Central  Google Scholar 

  12. Bailly S, Destors M, Grillet Y, Richard P, Stach B, Vivodtzev I, Timsit JF, Levy P, Tamisier R, Pepin JL. Obstructive sleep apnea: a cluster analysis at time of diagnosis. PLoS One. 2016;11(6):e0157318. doi:10.1371/journal.pone.0157318.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Wolfe RM, Pomerantz J, Miller DE, Weiss-Coleman R, Solomonides T. Obstructive Sleep Apnea: preoperative screening and postoperative care. J Am Board Fam Med. 2016;29:263–75.

    Article  PubMed  Google Scholar 

  14. Chung F, Yang Y, Brown R, Liao P. Alternative Scoring Models of STOP-Bang Questionnaire improve specificity to detect undiagnosed obstructive sleep apnea. J Clin Sleep Med. 2014;10(9):951–8.

    PubMed  PubMed Central  Google Scholar 

  15. Kong WT, Chopra S, Kopf M, et al. Perioperative risks of untreated obstructive sleep apnea in the bariatric surgery patient: a retrospective study. Obes Surg. 2016;26(11):2779–80. doi:10.1007/s11695-016-2203-3.

    Article  Google Scholar 

  16. Zaremba S, Shin CH, Hutter MM, Malviya SA, Grabitz SD, MacDonald T, Diaz-Gil D, Ramachandran SK, Hess D, Malhotra A, Eikermann M. Continuous positive airway pressure mitigates opioid-induced worsening of sleep-disordered breathing early after bariatric surgery. Anesthesiology. 2016;125:92–104.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Ünal DY, Baran İ, Mutlu M, Ural G, Akkaya T, Özl O. Comparison of Sugammadex versus Neostigmine costs and respiratory complications in patients with obstructive sleep apnoea. Turk J Anaesthesiol Reanim. 2015;43:387–95.

    PubMed  PubMed Central  Google Scholar 

  18. Cheng X, Huang Y, Zhao Q, Gu E. Comparison of the effects of dexmedetomidine-ketamine and sevoflurane-sufentanil anesthesia in children with obstructive sleep apnea after uvulopalatopharyngoplasty: an observational study. J Anaesthesiol Clin Pharmacol. 2014;30:31–5.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Ankichetty S, Wong J, Chung F. A systematic review of the effects of sedatives and anesthetics in patients with obstructive sleep apnea. J Anaesthesiol Clin Pharmacol. 2011;27:447–58.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Spicuzza L, Caruso D, Di Maria G. Obstructive sleep apnoea syndrome and its management. Ther Adv Chronic Dis. 2015;6(5):273–85.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Shin CH, Zaremba S, Devine S, et al. Effects of obstructive sleep apnoea risk on postoperative respiratory complications: protocol for a hospital-based registry study. BMJ Open. 2016;6:e008436.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Eastwood PR, Malhotra A, Palmer LJ, Kezirian EJ, Horner RL, Ip MS, Thurnheer R, Antic NA, Hillman DR. Obstructive sleep apnoea: from pathogenesis to treatment: current controversies and future directions. Respirology. 2010;15(4):587–95.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to César Aldecoa .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Cite this chapter

Martin, S., Aldecoa, C. (2018). Obstructive Sleep Apnea (OSA) and Anesthesia. In: Fellahi, JL., Leone, M. (eds) Anesthesia in High-Risk Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-60804-4_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-60804-4_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60803-7

  • Online ISBN: 978-3-319-60804-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics