An adult non-obese male, a case of obstructive sleep apnoea posted for tonsillectomy and septoplasty - challenges faced

Bhalerao, Pradnya M; Khedkar, Sunita M; Patil, Vijay H; Kawade, Bhausaheb R

doi:10.4103/0019-5049.126810

Cited by 2 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…References revealed two additional potentially relevant studies. 67,68 Studies were excluded for the following reasons: only posttonsillectomy data was available, 24 no polysomnography or quantitative sleepiness data, 20,29,34,38,44,48,56,57,[60][61][62]64,65 the patient(s) underwent a tonsillectomy alone; however, the studies only reported data for the entire group which included additional surgeries, 28,41,[50][51][52][53] the patient(s) underwent another procedure simultaneously, 10,22,27,42,45,46,55,58,67,69 or the articles were review articles with no new data. 23,30 Seventeen studies 21,25,26,[31][32][33][35][36][37]39,40,42,49,54,<...>…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Tonsillectomy for adult obstructive sleep apnea: A systematic review and meta-analysis

Camacho

Kawai

et al. 2016

The Laryngoscope

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

“…The searches yielded 2,318 studies: 47 were potentially relevant and were downloaded. References revealed two additional potentially relevant studies .…”

Section: Resultsmentioning

confidence: 99%

Tonsillectomy for adult obstructive sleep apnea: A systematic review and meta-analysis

Camacho

Kawai

et al. 2016

The Laryngoscope

View full text Add to dashboard Cite

show abstract

“…The American Society of Anesthesiologists (ASA) defines obstructive sleep apnea (OSA) as a partial/complete obstruction of the upper airway while the patient is asleep, causing arousal in order to restore airway patency. 1,2 This may be related to episodes of oxygen desaturation, hypercapnia, or other serious complications, such as cardiovascular dysfunction, systemic hypertension, cor pulmonale, and hypoxic pulmonary vasoconstriction with pulmonary hypertension. 1,3,4 According to the literature, the estimated prevalence of OSA in the United States varies between 1-24% in middle-aged men, and 2-9% in adult women.…”

Section: Introductionmentioning

confidence: 99%

A retrospective analysis on patients at high‐risk for obstructive sleep apnea undergoing ear, nose, and throat surgeries

Woodling

Fiorda-Diaz

Otto

et al. 2017

Laryngoscope Investig Oto

View full text Add to dashboard Cite

BackgroundObstructive sleep apnea (OSA) may be related to episodes of oxygen de‐saturation, hypercapnia, cardiovascular dysfunction, cor‐pulmonale, and pulmonary hypertension. STOP‐BANG is an acronym for eight specific questions used to assess the likelihood of OSA. If the individual exhibits three or more of these indicators, he/she should be considered to be at high risk for OSA complications. Therefore, the decision of proceeding with inpatient versus outpatient ENT surgery still remains controversial. The primary objective of the study was to identify and correlate desaturation (SPO2 <90%) episodes and risk factors.MethodsWe conducted a single‐center retrospective study between October 1, 2011 and August 31, 2014 in order to identify postoperative complications during the first 24 hours that justify postoperative monitoring and hospital admission. A total of 292 subjects were included for data analysis. Patients were divided into two groups based on the number of OSA risk factors: group A with 3–4 risk factors (n = 166), and group B with ≥5 risk factors (n = 126). The following information was collected: demographics, ASA, preoperative STOP‐BANG score, length of surgery, intraoperative complications, opioid consumption, post anesthesia care unit (PACU) and overall length of stay, supplemental oxygen requirement, oxygen desaturation, and postoperative opioid consumption.ResultsNo statistically significant difference was found when comparing demographic variables between both groups. All STOP‐BANG variables showed statistical significance. PACU and inpatient variables were similar among both groups, with the exception of length of hospital stay (longer stay in group B when compared to group A [p = 0.003]). Desaturation differences between both groups during PACU were statistically significant (p = 0.008). A post‐hoc analysis showed a 0% incidence of overall desaturation in the group with three STOP‐BANG indicators.ConclusionsOur retrospective analysis concluded that patients diagnosed with three STOP‐BANG risk factors did not experience postoperative complications and hospital admission was not justified.Level of Evidence4

show abstract

An adult non-obese male, a case of obstructive sleep apnoea posted for tonsillectomy and septoplasty - challenges faced

Cited by 2 publications

References 9 publications

Tonsillectomy for adult obstructive sleep apnea: A systematic review and meta-analysis

Tonsillectomy for adult obstructive sleep apnea: A systematic review and meta-analysis

A retrospective analysis on patients at high‐risk for obstructive sleep apnea undergoing ear, nose, and throat surgeries

Contact Info

Product

Resources

About