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OSA STOP BANG evidence

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2 papers 0 to 25 followers
Jahan Porhomayon, Ali El-Solh, Sanjeev Chhangani, Nader D Nader
Obstructive sleep apnea (OSA) is a leading public health problem in both developed and developing nations. However, awareness regarding diagnostic options, management, and consequences of untreated OSA remains inadequate in the perioperative period. Adverse surgical outcomes appear to be more frequent in OSA patients. Immediate postoperative complications may be partially attributed to the negative effects of sedative, analgesic, and anesthetic agents that can worsen OSA by decreasing pharyngeal tone and the arousal responses to hypoxia, hypercarbia, and obstruction...
October 2011: Lung
Monika A Proczko, Pieter S Stepaniak, Marcel de Quelerij, Floor Haak van der Lely, J Frans Smulders, Lukasz Kaska, Mohammed A Soliman Hamad
BACKGROUND: In patients undergoing surgical interventions under general anesthesia, obstructive sleep apnea syndrome (OSA) can cause serious perioperative cardiovascular or respiratory complications leading to fatal consequences, even sudden death. In this study we test the hypothesis that morbidly obese patients diagnosed by a polysomnography test and using continuous positive airway pressure (CPAP) therapy have fewer and less severe perioperative complications and a shorter hospital stay than patients who have a medical history that meets at least three STOP-Bang criteria and are not using CPAP therapy...
December 2014: Journal of Anesthesia
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