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Abstract
Obstructive sleep apnea (OSA) is common in surgical patients and patients with this diagnosis who remain unrecognized or untreated are at higher risk of complications in the perioperative period. Effective, protocolized approaches to identify at risk patients who require OSA evaluation before surgery, and to monitor compliance and adequacy of PAP therapy are essential to minimize these risks. Continuous nocturnal oximetry offers promise as an effective monitoring strategy to address these areas of need.
Highlights
Obstructive sleep apnea (OSA) is common in surgical patients and patients with this diagnosis who remain unrecognized or untreated are at higher risk of complications in the perioperative period
Effective, protocolized approaches to identify at risk patients who require OSA evaluation before surgery, and to monitor compliance and adequacy of positive airway pressure (PAP) therapy are essential to minimize these risks
The prevalence of sleep disordered breathing in patients undergoing elective surgery is at least as common as the general population, with studies reporting rates of mild-moderate obstructive sleep apnea (OSA) of 22% [1]
Summary
Continuous Oximetry Offers Promise To Reduce the Risk of Perioperative Complications in OSA Patients Obstructive sleep apnea (OSA) is common in surgical patients and patients with this diagnosis who remain unrecognized or untreated are at higher risk of complications in the perioperative period. Effective, protocolized approaches to identify at risk patients who require OSA evaluation before surgery, and to monitor compliance and adequacy of PAP therapy are essential to minimize these risks.
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