Journal article
The Early Postoperative Course of Surgical Sleep Apnea Patients
The Laryngoscope, v 120(5), pp 1063-1068
01 May 2010
PMID: 20222023
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives/Hypothesis: Recent guidelines from the American Society of Anesthesiologists recommended postoperative monitoring for most patients undergoing surgery for obstructive sleep apnea (USA). These guidelines, however, are largely based on retrospective literature and expert opinion. The appropriate level of postoperative monitoring remains controversial. Our objective was to prospectively document the early postoperative course of patients undergoing USA surgery.
Study Design: Prospective cohort study.
Methods: One hundred twenty-one patients (age 43.9 +/- 13.5 years, 79.8% male) with sleep-study proven USA (apnea-hypopnea index 31.9 +/- 22.7) who were undergoing surgery for USA at our tertiary care center were recruited from 2007 to 2009. Outcome measures were: 1) incidence of respiratory complications requiring nursing intervention, 2) level of postoperative blood oxygen saturation divided into three groups: mean oxygen saturation in recovery room (SPO2(recovery)), mean oxygen saturation in step-up unit (SpO2(step-up)), and lowest oxygen saturation over the 24 hour period (SpO2(minimum)). These results were then compared to the benchmark literature.
Results: The overall incidence of nursing intervention in response to a respiratory complication (3.4%) was significantly less than expected (P < .002). Mean SpO2(recovery) was 92.9 +/- 3.2%, SpO2(step-up) was 95.9 +/- 1.6%, and SpO2(minimum) was 92.8 +/- 3.1%. No variables were identified as being predictive of any of the outcome measures.
Conclusions: The incidence of respiratory events requiring intervention in the early postoperative course of USA patients was low (3.4%). Routine postoperative inpatient monitoring may not be required in many cases.
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Details
- Title
- The Early Postoperative Course of Surgical Sleep Apnea Patients
- Creators
- Brian Rotenberg - Western UniversityAmanda Hu - Western UniversityJohn Fuller - Western UniversityYves Bureau - Lawson Health Research InstituteIan Arra - Western UniversityMithu Sen - Western University
- Publication Details
- The Laryngoscope, v 120(5), pp 1063-1068
- Publisher
- Wiley
- Number of pages
- 6
- Grant note
- Academic Development Fund, University of Western Ontario
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Otolaryngology (and Head and Neck Surgery)
- Web of Science ID
- WOS:000277540200034
- Scopus ID
- 2-s2.0-77951726976
- Other Identifier
- 991019299113504721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Medicine, Research & Experimental
- Otorhinolaryngology