Journal ArticleDOI
Recurrent Hypoxemia in Children Is Associated with Increased Analgesic Sensitivity to Opiates
TLDR
Previous recurrent hypoxemia in OSA is associated with increased analgesic sensitivity to subsequent morphine administration, and opiate dosing in children with OSA must take into account a history of recurrent Hypoxemia.Abstract:
Background:Postsurgical administration of opiates in patients with obstructive sleep apnea (OSA) has recently been linked to an increased risk for respiratory complications. The authors have attributed this association to an effect of recurrent oxygen desaturation accompanying OSA on endogenous opioread more
Citations
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Journal ArticleDOI
Clinical Practice Guideline: Polysomnography for Sleep-Disordered Breathing Prior to Tonsillectomy in Children:
Peter S. Roland,Richard M. Rosenfeld,Lee J. Brooks,Norman R. Friedman,Jacqueline Jones,Tae W. Kim,Siobhan Kuhar,Ron B. Mitchell,Michael D. Seidman,Stephen H. Sheldon,Stephanie Jones,Peter J. Robertson +11 more
TL;DR: This guideline provides otolaryngologists with evidence-based recommendations for using polysomnography in assessing children, aged 2 to 18 years, with sleep-disordered breathing and are candidates for tonsillectomy, with or without adenoidectomy.
Journal ArticleDOI
A systemic review of obstructive sleep apnea and its implications for anesthesiologists.
TL;DR: The ultimate goal is to reduce the perioperative risk of OSA patients but, to realize that goal, research will be needed to determine whether screening for OSA and/or adapting specific peri operative management approaches translates into a lessening of adverse events in surgical patients with undiagnosed OSA.
Journal ArticleDOI
Perioperative Management of Obstructive Sleep Apnea
TL;DR: The role of continuous positive airway pressure in perioperative management of OSA and a brief discussion of ambulatory surgery in patients with OSA is provided.
Journal ArticleDOI
Obstructive sleep apnea of obese adults: pathophysiology and perioperative airway management.
TL;DR: Improvement of the pharyngeal anatomical imbalance and maintenance of lung volume are the keys for safe perioperative airway managements of obese patients with obstructive sleep apnea.
Journal ArticleDOI
Postoperative pain control.
TL;DR: Use of a procedure-specific, multimodal perioperative pain management provides a rational basis for enhanced postoperative pain control, optimization of analgesia, decrease in adverse effects, and improved patient satisfaction.
References
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Journal ArticleDOI
Practice guidelines for the perioperative management of patients with obstructive sleep apnea: a report by the American Society of Anesthesiologists Task Force on Perioperative Management of patients with obstructive sleep apnea.
Kenneth L. Bachenberg,Jonathan L. Benumof,Robert A. Caplan,Richard T. Connis,Charles J. Coté,David G. Nickinovich,Vivek N. Prachand,Denham S. Ward,Edward M. Weaver,Lawrence Ydens,Song Yu +10 more
TL;DR: This article has been selected for the Anesthesiology CME Program and the instructions to take the test may be found in the CME section at the back of this issue.
Journal ArticleDOI
Planning Adenotonsillectomy in Children With Obstructive Sleep Apnea: The Role of Overnight Oximetry
Gillian M. Nixon,Andrea S. Kermack,G. Michael Davis,John J. Manoukian,Karen A. Brown,Robert T. Brouillette +5 more
TL;DR: Overnight pulse oximetry can be used to estimate the severity of OSA, to shorten the diagnostic and treatment process for those with more severe disease, and to aid clinicians in prioritization of T&A and planning perioperative care.
Journal ArticleDOI
Postoperative Respiratory Compromise in Children with Obstructive Sleep Apnea Syndrome: Can It Be Anticipated?
TL;DR: Nasal continuous positive airway pressure (CPAP) and bilevel CPAP was used successfully to manage the preoperative and/or postoperative upper airway obstruction in five children with obstructive sleep apnea syndrome and overnight observation with an apnea monitor and oximeter is recommended.
Journal Article
Postoperative respiratory compromise in children with obstructive sleep apnea syndrome: can it be anticipated?
TL;DR: In this paper, the authors describe postoperative respiratory complications after tonsillectomy and/or adenoidectomy in children with obstructive sleep apnea syndrome, to define which children are at risk for these complications, and to determine whether continuous positive airway pressure (CPAP) is an effective strategy for dealing with these complications.
Journal ArticleDOI
Can assessment for obstructive sleep apnea help predict postadenotonsillectomy respiratory complications
TL;DR: The data suggest, but do not prove, that preoperative nocturnal oximetry could be a useful preoperative test to identify children who are at increased risk for postoperative respiratory complications.