Don't Ignore My Snore: Reducing Perioperative Complications of Obstructive Sleep Apnea

Abstract

Obstructive sleep apnea (OSA), a condition associated with decreased muscle tone in the airway, has been linked to postoperative complications. The purpose of the initiative was to develop and implement a guideline for patients identified as high-risk for OSA to reduce complications related to OSA. A multidisciplinary team developed the guideline utilizing the Iowa Model of Evidence-Based Practice to Promote Quality Care. PubMed literature search from 2006-2013 and critique of over 40 articles were completed. A nursing care plan was created from the guideline to facilitate communication of care for this population. Postoperative cardiopulmonary complications related to OSA decreased from 27% to 14.6% after guideline implementation. Guideline and nursing care plan specific to OSA in the perioperative setting improved patient outcomes.