Literature Updates from July 2017

Laser-Assisted Uvulopalatoplasty for Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis

Authors: Camacho M, Nesbitt NB, Lambert E, Song SA, Chang ET, Liu SY, Kushida CA, Zaghi S.

A systematic review and meta-analysis on laser-assisted uvulopalatoplasty (LAUP) for treatment of obstructive sleep apnea (OSA). LAUP reduced AHI by 32% among all patients; while the LSAT only changed minimally. Individual data demonstrated a success rate of 23%, cure rate of 8%, and worsening of the AHI among 44% of patients.

https://www.ncbi.nlm.nih.gov/pubmed/28201808

Postoperative Respiratory Complications in Patients at Risk for Obstructive Sleep Apnea: A Single-Institution Cohort Study

Authors: Ramachandran SK, Pandit J, Devine S, Thompson A, Shanks A.

The authors found that suspected OSA based on the Perioperative Sleep Apnea Prediction score is independently associated with increased risk of early postoperative respiratory complications. Specific anesthetic agents were also independently associated with early postoperative respiratory complications.

https://www.ncbi.nlm.nih.gov/pubmed/28622177

Symptomless Multi-Variable Apnea Prediction Index Assesses Obstructive Sleep Apnea Risk and Adverse Outcomes in Elective Surgery

Authors: Lyons MM, Keenan BT, Li J, Khan T, Elkassabany N, Walsh CM1, Williams NN, Pack AI, Gurubhagavatula I

The authors conclude that preoperative screening for OSA may reduce adverse postoperative outcomes. OSA risk was measured by the symptomless Multi-Variable Apnea Prediction index (sMVAP).

https://www.ncbi.nlm.nih.gov/pubmed/28364424