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Use of a home positive airway pressure device during intraoperative monitored anesthesia care for outpatient surgery

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Abstract

Perioperative positive airway pressure (PAP) is recommended by the American Society of Anesthesiologists for patients with obstructive sleep apnea, but a readily available and personalized intraoperative delivery system does not exist. We present the successful use of a patient’s own nasal PAP machine in the operating room during outpatient foot surgery which required addition of a straight adaptor for oxygen delivery and careful positioning of the gas sampling line to permit end-tidal carbox dioxide monitoring. Home PAP machines may provide a potential alternative to more invasive methods of airway management for patients with obstructive sleep apnea under moderate sedation.

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Authors and Affiliations

  1. Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA

    Lindsay Borg, Tessa L. Walters, Lawrence C. Siegel & Edward R. Mariano

  2. Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue (112A), Palo Alto, CA, 94304, USA

    Tessa L. Walters, Lawrence C. Siegel, John Dazols & Edward R. Mariano

Authors
  1. Lindsay Borg
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  2. Tessa L. Walters
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  3. Lawrence C. Siegel
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  4. John Dazols
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  5. Edward R. Mariano
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Corresponding author

Correspondence to Edward R. Mariano.

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Conflict of interest

Dr. Mariano has received unrestricted educational program funding paid to his institution from Halyard Health (Alpharetta, GA, USA) and B. Braun (Bethlehem, PA, USA). Dr. Walters is a consultant for Theranova, LLC (San Francisco, CA, USA). Dr. Siegel owns shares of ApniCure, Inc. (Redwood City, CA, USA). These companies had absolutely no input into any aspect of the present study conceptualization, design, and implementation; data collection, analysis and interpretation; or manuscript preparation. None of the other authors has any personal financial interests to disclose.

Additional information

Congress presentation(s):

This paper was presented at the 41st Annual Regional Anesthesiology and Acute Pain Medicine Meeting and Workshops (New Orleans, LA, USA, March 31−April 2, 2016).

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Borg, L., Walters, T.L., Siegel, L.C. et al. Use of a home positive airway pressure device during intraoperative monitored anesthesia care for outpatient surgery . J Anesth 30, 707–710 (2016). https://doi.org/10.1007/s00540-016-2188-z

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  • DOI: https://doi.org/10.1007/s00540-016-2188-z

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