Posted in
Clinical Adult, Literature Updates
Posted:
January 1, 2013
Authors: Demir A, Aydınlı B, Güçlü ÇY, Yazıcıoğlu H, Saraç A, Elhan AH, Erdemli Ö
Contributors: Frances Chung, Stavros Metsoudis
Published: J Anesth. 2012 Oct;26(5):702–10. doi: 10.1007/s00540-012‑1393-7.
We found that obesity does not increase short-term mortality for open heart surgery; however, it increases the risk of postoperative pulmonary and gastrointestinal complications and discharge with morbidity.
http://www.ncbi.nlm.nih.gov/pubmed/22526436
Posted in
Clinical Adult, Literature Updates
Posted:
January 1, 2013
Authors: Meyer S, McLaughlin VV, Seyfarth HJ, Bull TM, Vizza CD, Gomberg-Maitland M, Preston IR, Barberà JA, Hassoun PM, Halank M, Jaïs X, Nickel N, Hoeper MM, Humbert M
Contributors: Frances Chung, Stavros Metsoudis
Published: Eur Respir J. 2012 Nov 8.
Data were collected between July 2007 and June 2010 from 114 patients with PAH who underwent major surgery. The authors concluded that major surgery in patients with PAH continues to be a high-risk procedure, in particular when patients need to undergo emergency interventions.
http://www.ncbi.nlm.nih.gov/pubmed/23143546
Posted in
Clinical Adult, Literature Updates
Posted:
January 1, 2013
Authors: White LH, Bradley TD
Contributors: Frances Chung, Stavros Metsoudis
Published: Physiol. 2012 Dec 10.
In heart failure patients, with increased rostral fluid shift, fluid may additionally accumulate in the lungs, provoking hyperventilation and hypocapnia, driving PCO2 below the apnoea threshold, leading to CSA. This review article explore mechanisms by which overnight rostral fluid shift, and its prevention, can contribute to the pathogenesis and therapy of sleep apnoea.
http://www.ncbi.nlm.nih.gov/pubmed/23230237
Posted in
Clinical Adult, Literature Updates
Posted:
January 1, 2013
Authors: Ankichetty SP, Angle P, Joselyn AS, Chinnappa V, Halpern S
Contributors: Frances Chung, Stavros Metsoudis
Published: J Anaesthesiol Clin Pharmacol. 2012 Oct;28(4):436–43. doi: 10.4103/0970–9185.101895.
This review describes the anaesthetic concerns in obese parturients at risk for OSA presenting to the labor and delivery unit.
http://www.ncbi.nlm.nih.gov/pubmed/23225920
Posted in
Clinical Adult, Literature Updates
Posted:
January 1, 2013
Authors: Singh M, Liao P, Kobah S, Wijeysundera DN, Shapiro C, Chung F
Contributors: Frances Chung, Stavros Metsoudis
Published: Br J Anaesth. 2012 Dec 19.
Before operation, of the 267 patients with moderate-to-severe OSA, 92% (n=245) and 60% (n=159) were not diagnosed by the surgeons and the anaesthetists, respectively.This study may provide an impetus for more diligent case finding of OSA before operation.
http://www.ncbi.nlm.nih.gov/pubmed/23257990
Posted in
Clinical Adult, Literature Updates
Posted:
January 1, 2013
Authors: Simpson L, Hillman DR, Cooper MN, Ward KL, Hunter M, Cullen S, James A, Palmer LJ, Mukherjee S, Eastwood P
Contributors: Frances Chung, Stavros Metsoudis
Published: Sleep Breath. 2012 Nov 16.
The age-standardized prevalence estimate of moderate-severe OSA was 9.1 % (12.4 % in men, 5.7 % in women). Sensitivity of the BQ in this population was 54 %, and specificity, 70 %. A combination of questions regarding snoring frequency and hypertension provided maximal post-test probability of OSA and greatest post-screen sample size.
http://www.ncbi.nlm.nih.gov/pubmed/23161476
Posted in
Clinical Adult, Literature Updates
Posted:
January 1, 2013
Authors: Craig SE, Kohler M, Nicoll D, Bratton DJ, Nunn A, Davies R, Stradling J
Contributors: Frances Chung, Stavros Metsoudis
Published: Thorax. 2012 Oct 30.
In patients with minimally symptomatic OSA, CPAP can reduce subjective and objective daytime sleepiness, and improve self-assessed health status, but does not appear to improve calculated vascular risk.
http://www.ncbi.nlm.nih.gov/pubmed/23111478
Posted in
Clinical Adult, Literature Updates
Posted:
January 1, 2013
Authors: Nepomnayshy D, Hesham W, Erickson B, Macdonald J, Iorio R, Brams D
Contributors: Frances Chung, Stavros Metsoudis
Published: Obes Surg. 2012 Oct 27.
Sleep apnea screening prior to bariatric surgery identifies an additional 25 % of patients as having OSA. In this study, unscreened morbidly obese patients did not have an increased incidence of cardiopulmonary complications after surgery compared to screened patients.
http://www.ncbi.nlm.nih.gov/pubmed/23104390
Posted in
Clinical Adult, Literature Updates
Posted:
January 1, 2013
Authors: Louis J, Auckley D, Miladinovic B, Shepherd A, Mencin P, Kumar D, Mercer B, Redline S
Contributors: Frances Chung, Stavros Metsoudis
Published: Obstet Gynecol. 2012;120(5):1085–1092.
Obstructive sleep apnea among obese pregnant women is associated with more frequent preeclampsia, neonatal intensive care unit admissions, and cesarean delivery.
http://www.ncbi.nlm.nih.gov/pubmed/23090526
