Posted in
ICU, Literature Updates
Posted:
July 1, 2014
Authors: Gücyetmez B, Atalan HK
Published: J Med Case Rep. 2014 Jun 6;8(1):181
In this study, the authors review eight cases where the apnea-hypopnea index was determined using ApneaLink™. The authors describe the ApneaLink™ tool as a simple and inexpensive device that determines the apnea hypopnea index with a sensitivity and specificity of 100% and 87.5% respectively. The cases demonstrate that the ApneaLink™ device can be utilized in a variety of clinical situations such as post-operatively and in the ICU. In each of the case studies, the ApneaLink™ device help the authors make better management decisions such as ICU admission after surgery or discharge from the ICU with CPAP. The authors also demonstrate how this device can be used to enhance informed consent.
http://www.ncbi.nlm.nih.gov/pubmed/24906620
Posted in
ICU, Literature Updates
Posted:
July 1, 2014
Authors: Karnatovskaia LV, Lee AS, Bender SP, Talmor D, Festic E
Published: J Clin Sleep Med. 2014 Jun 15;10(6):657–62.
In this study, the authors evaluated weather obstructive sleep apnea could increase the risk of pulmonary complications and ARDS in a cohort of 5584 surgical patients from 22 different hospitals. All patients had at least one risk factor for ARDS. 252 of the patient had OSA and 66% of these patients were obese. After statistical analysis, the authors could not conclude that OSA was a risk factor for ARDS. However, BMI was independently associated with ARDS. Hence, it appears that obese patients, with at least one risk factors for ARDS, are at increase risk of developing this severe pulmonary complication post-operatively.
http://www.ncbi.nlm.nih.gov/pubmed/24932146