Posted in
Clinical Adult, Literature Updates
Posted:
May 1, 2013
Authors: Dumitrascu R, Tiede H, Eckermann J, Mayer K, Reichenberger F, Ghofrani HA, Seeger W, Heitmann J, Schulz R.
Contributors: Frances Chung and Stavros Memtsoudis
Published: Sleep Med. 2013 Mar;14(3):247–51.
169 patients with a diagnosis of pulmonary hypertension confirmed by right heart catheterisation and clinically stable in NYHA classes II or III were prospectively investigated by polygraphy (n = 105 females, mean age: 61.3 years, mean body mass index: 27.2 kg/m(2)). At least every fourth patient with pulmonary hypertension suffers from mild-to-moderate sleep apnea. The authors conclude, that considering the anthropometric characteristics of the patients studied, the prevalence of sleep apnea seem to be higher in pulmonary hypertension patients than in the general population.
http://www.ncbi.nlm.nih.gov/pubmed/23340085
Posted in
Clinical Adult, Literature Updates
Posted:
May 1, 2013
Authors: Ursavaş A, Güven T, Coskun F, Ege E, Yılmazlar A.
Contributors: Frances Chung and Stavros Memtsoudis
Published: Multidiscip Respir Med. 2013 Jan 18;8(1):3
The aim of this retrospective chart review was to determine the relationship among postoperative pulmonary complication, snoring and STOP questionnaire in patients with orthopedic surgery. There were 289 (20.5%) snorers and 1,117 (79.5%) non-snorers in the study group. Postoperative atelectasis was significantly more prevalent in the high risk group according to STOP questionnaire.
http://www.ncbi.nlm.nih.gov/pubmed/23331468
Posted in
Clinical Adult, Literature Updates
Posted:
May 1, 2013
Authors: Weingarten TN, Kor DJ, Gali B, Sprung J.
Contributors: Frances Chung and Stavros Memtsoudis
Published: Curr Opin Anaesthesiol. 2013 Apr;26(2):116–25.
The objective of this manuscript was “to describe prediction models for surgical patients who have suspected obstructive sleep apnea at risk for postoperative respiratory complications and for surgical patients at risk for postoperative acute respiratory distress syndrome. The authors conclude that “evidence is emerging that early identification of modifiable risk factors and implementation of ‘protective’ management strategies may lead to reduction of severe postoperative pulmonary complications.”
http://www.ncbi.nlm.nih.gov/pubmed/23407151
Posted in
Clinical Adult, Literature Updates
Posted:
May 1, 2013
Authors: Talei B, Cossu AL, Slepian R, Kacker A.
Contributors: Frances Chung and Stavros Memtsoudis
Published: Laryngoscope. 2013 Mar 15.
The objective of this retrospective chart review was to “analyze and assess the perioperative risks and complications in patients receiving general anesthesia undergoing surgery for obstructive sleep apnea. Thirty-two patients were reviewed with no severe adverse events such as reintubation, prolonged intubation, or postoperative pulmonary edema. Patients who were difficult to intubate or required nasal/oral airways failed to show any adverse outcomes”.
http://www.ncbi.nlm.nih.gov/pubmed/23504700
Posted in
Clinical Adult, Literature Updates
Posted:
May 1, 2013
Authors: Chong CT, Tey J, Leow SL, Low W, Kwan KM, Wong YL, Lew TW.
Contributors: Frances Chung and Stavros Memtsoudis
Published: Ann Acad Med Singapore. 2013 Mar;42(3):110–9.
There was no significant increase in postoperative complications in patients managed on the OSA risk management protocol. With this protocol, it is clinically safe to proceed with elective surgery without delay for formal polysomnography confirmation.
http://www.ncbi.nlm.nih.gov/pubmed/23604499
Posted in
Clinical Adult, Literature Updates
Posted:
May 1, 2013
Authors: Mehta V, Vasu TS, Phillips B, Chung F
Contributors: Frances Chung and Stavros Memtsoudis
Published: J Clin Sleep Med. 2013 Mar 15;9(3):271–9. doi: 10.5664/jcsm.2500.
This review shows that O2 therapy significantly improves oxygen saturation in patients with OSA. However, it may also increase the duration of apnea-hypopnea events.
http://www.ncbi.nlm.nih.gov/pubmed/23493498
Posted in
Clinical Adult, Literature Updates
Posted:
May 1, 2013
Authors: Lockhart EM, Willingham MD, Abdallah AB, Helsten DL, Bedair BA, Thomas J, Duntley S, Avidan MS.
Contributors: Frances Chung and Stavros Memtsoudis
Published: Sleep Med. 2013 Mar 13. pii: S1389-9457(12)00396–6
Neither a prior diagnosis of OSA nor a positive screen for OSA risk was associated with increased 30-day or one-year postoperative mortality. Differences in 1 year postoperative mortality were noted with three screening tools.
http://www.ncbi.nlm.nih.gov/pubmed/23499198
