Posted in
Clinical Adult, Literature Updates
Posted:
July 1, 2013
Authors: Cizza G, Piaggi P, Lucassen EA, de Jonge L, Walter M, Mattingly MS, Kalish H, Csako G, Rother KI, Sleep Extension Study Group.
Contributors: Frances Chung, Stavros Memtsoudis and Aric Prather
Published: PLoS One. 2013 May 29;8(5)
Sleep duration and quality, OSA, and glucose metabolism were assessed in 96 obese individuals reporting to sleep less than 6.5 hrs on a regular basis. OSA severity was associated with higher fasting glucose and insulin. Those with moderate to severe OSA had higher glucose at 120 min while undergoing a glucose tolerance test.
http://www.ncbi.nlm.nih.gov/pubmed/23734252
Posted in
Clinical Adult, Literature Updates
Posted:
July 1, 2013
Authors: Trzepizur W, Le Vaillant M, Meslier N, Pigeanne T, Masson P, Humeau MP, Bizieuxx-Thaminy A, Goupil F, Chollet S, Ducluzeau PH, Gagnadoux F.
Contributors: Frances Chung, Stavros Memtsoudis and Aric Prather
Published: CHEST; 143: 1584–1589.
In a sample of 2,018 patients who underwent measurement of fasting lipid levels and nocturnal recording for assessment of obstructive sleep apnea, total cholesterol and LDL were not associated with the oxygen desaturation index. However, nocturnal intermittent hypoxemia and OSA severity were associated with higher triglycerides and lower HDL-C, independent of confounders. This may provide a mechanism through which OSA is associated with cardiovascular risk.
http://www.ncbi.nlm.nih.gov/pubmed/23699812
Posted in
Clinical Adult, Literature Updates
Posted:
July 1, 2013
Authors: Ferrie JE, Kivimaki M, Akbaraly TN, Singh-Manoux A, Miller MA, Gimeno D, Kumari M, Davey Smith G, Shipley MJ.
Contributors: Frances Chung, Stavros Memtsoudis and Aric Prather
Published: American Journal of Epidemiology, 2013 June
In a sample of 5,003 midlife men and women, shorter sleep (< 5 hours per night) was associated with higher levels of CRP and IL-6 and in longitudinal analyses, a greater increase in sleep duration was associated with a significant 5-year increase in CRP and IL-6.
http://www.ncbi.nlm.nih.gov/pubmed/23801012
Posted in
Clinical Adult, Literature Updates
Posted:
July 1, 2013
Authors: Memtsoudis SG, Stundner O, Rasul R, Sun X, Chiu YL, Fleischut P, Danninger T, Mazumdar M
Contributors: Frances Chung, Stavros Memtsoudis and Aric Prather
Published: Reg Anesth Pain Med. 2013 Jul-Aug;38(4):274–81.
The authors “analyzed data from approximately 400 hospitals in the United States. Perioperative outcomes were compared between patients receiving general, neuraxial, or combined neuraxial-general anesthesia. “They concluded that “neuraxial anesthesia may convey benefits in the perioperative outcome of SA patients undergoing joint arthroplasty.”
http://www.ncbi.nlm.nih.gov/pubmed/23558371
Posted in
Clinical Adult, Literature Updates
Posted:
July 1, 2013
Authors: Mokhlesi B, Hovda MD, Vekhter B, Arora VM, Chung F, Meltzer DO.
Contributors: Frances Chung, Stavros Memtsoudis and Aric Prather
Published: Obes Surg. 2013 May 22. [Epub ahead of print]
In this large nationally representative sample, despite the increased association of SDB/OSA with postoperative cardiopulmonary complications, the diagnosis of SDB/OSA was negatively, rather than positively, associated with in-hospital mortality and resource use.
http://www.ncbi.nlm.nih.gov/pubmed/23690272
Posted in
Clinical Adult, Literature Updates
Posted:
July 1, 2013
Authors: Brueckmann B, Villa-Uribe JL, Bateman BT, Grosse-Sundrup M, Hess DR, Schlett CL, Eikermann M.
Contributors: Frances Chung, Stavros Memtsoudis and Aric Prather
Published: Anesthesiology. 2013 Jun;118(6):1276–1285.
The authors developed and validated a score for the prediction of postoperative respiratory complications, a simple, 11-point score that can be used preoperatively by anesthesiologists to predict severe postoperative respiratory complications. Independent predictors for reintubation were: American Society of Anesthesiologist Score 3 or more, emergency surgery, high-risk surgical service, history of congestive heart failure, and chronic pulmonary disease.
http://www.ncbi.nlm.nih.gov/pubmed/23571640
Posted in
Clinical Adult, Literature Updates
Posted:
July 1, 2013
Authors: Sasaki N, Meyer MJ, Eikermann M
Contributors: Frances Chung, Stavros Memtsoudis and Aric Prather
Published: Anesthesiology. 2013 Apr;118(4):961–78
Excellent review on this topic.
http://www.ncbi.nlm.nih.gov/pubmed/23429163
Posted in
Clinical Adult, Literature Updates
Posted:
July 1, 2013
Authors: Dotan Y, Pillar G, Tov N, Oliven R, Steinfeld U, Gaitini L, Odeh M, Schwartz AR, Oliven A.
Contributors: Frances Chung, Stavros Memtsoudis and Aric Prather
Published: Eur Respir J. 2013 Jan;41(1):74–84. doi: 10.1183/09031936.00159611.
During propofol anaesthesia, pharyngeal occlusion persists despite large increases in genioglossus EMG, in the presence of a preserved mechanical response to electrical stimulation.
http://www.ncbi.nlm.nih.gov/pubmed/22556023
Posted in
Clinical Adult, Literature Updates
Posted:
July 1, 2013
Authors: Chung F, Yang Y, Liao P
Contributors: Frances Chung, Stavros Memtsoudis and Aric Prather
Published: Obes Surg. 2013 Jun 16. [Epub ahead of print]
The STOP-Bang score was validated in 310 obese and morbidly obese surgical patients. For identifying severe OSA, a STOP-Bang score of 4 has high sensitivity of 88 %. For confirming severe OSA, a score of 6 is more specific.
http://www.ncbi.nlm.nih.gov/pubmed/23771818
