This study aimed to evaluate if obstructive sleep apnea syndrome (OSAS) is a risk factor for pulmonary embolism. The authors concluded, that in patients with PTE, OSA rates were much higher than in the general population. Moreover, the rate for patients with clinically significant moderate and severe OSA was quite high.
OSA is quite common in patients presenting for elective surgery and has been linked to increased perioperative complications. Attempts to identify these patients preoperatively appear prudent. Protocols on how best to manage these patients are available, although validation of their effectiveness is needed.
A home-based strategy for diagnosis and treatment compared with in-laboratory PSG was not inferior in terms of acceptance, adherence, time to treatment, and functional improvements.
Adherence to prescribed CPAP therapy during the perioperative period was extremely low. African American race, male gender, and depressive symptoms were independently associated with reduced CPAP usage.
The STOP Bang correctly identified more patients with OSA and SDB (sleep-disordered breathing) than the ESS alone. The ESS had the highest specificity for OSA and SDB.
Obstructive sleep apnea among obese pregnant women is associated with higher rates of preeclampsia, neonatal intensive care unit admissions, and cesarean delivery.
The ASA checklist offers a highly sensitive tool to identify the patients at a higher risk of OSA during the perioperative period. Patients at high risk for OSA have a higher incidence of adverse events in the postoperative period when compared with those with low risk for OSA.
Obstructive sleep apnea (n=16,608) was associated with increased in-hospital mortality, pulmonary embolism, wound hematomas or seromas and increased postoperative charges ($61 044 vs $58 813; P < 0.001).
Thirteen studies were included in the final analysis (n=3942). The incidence of postoperative desaturation, respiratory failure, postoperative cardiac events, and ICU transfers was higher in patients with OSA.