Unrecognized Obstructive Sleep Apnea and Postoperative Cardiovascular Complications

Auckley, Dennis; Memtsoudis, Stavros G.

doi:10.1001/jama.2019.4781

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…People with preoperative sleep disturbances are more likely to have postoperative sleep disturbances ( 59 ). People with some diseases [such as obstructive sleep apnea (OSA), Attention-Deficit/Hyperactivity Disorder (ADHD), polycystic ovary syndrome (PCOS) often have sleep disturbances, which need our attention ( 60 – 62 )]. Some studies have shown that sleep disturbances are common maladies associated with human age.…”

Section: Risk Factors Associated With Postoperative Sleep Disturbancementioning

confidence: 99%

Sleep Disturbances After General Anesthesia: Current Perspectives

2020

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The purpose of this article is to review (1) sleep mechanism under general anesthesia, harmful effects of postoperative sleep disturbances; (2) risk factors associated with postoperative sleep disturbances; (3) measures to prevent and improve postoperative sleep disturbances. General anesthesia changes the postoperative sleep structure especially in elderly patients after major surgery and results in a high incidence rate of sleep disturbances. Sleep disturbances produce harmful effects on postoperative patients and lead to a higher risk of delirium, more cardiovascular events, and poorer recovery. Some researchers do propose non-pharmacological treatments such as attention to environmental and psychological factors, application of electroacupuncture (EA) technology and pharmacological treatments are helpful, but larger high-quality clinical trials with longer following-up are needed to further investigate the efficacy and safety.

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Section: Risk Factors Associated With Postoperative Sleep Disturbancementioning

confidence: 99%

Sleep Disturbances After General Anesthesia: Current Perspectives

2020

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“…Major strengths are the prospective study design, recruitment of participants across multiple countries thereby enhancing the generalizability of the findings, objective measurement of sleep apnea using the same, validated sleep study device at all sites and a thorough assessment of primary endpoints by adjudicators who were blind to the sleep study results. However, there were also features that had the potential to weaken the study conclusions e.g., non-standardized post-surgical care between sites; and use of a Level III sleep study device-ApneaLink Plus™-which does not measure sleep (12) and could lead to an underestimation of OSA severity. Also, while portable sleep monitoring data were collected and analyzed at the coordinating center, it is unknown what steps, if any, were taken to exclude participants with central sleep apnea (CSA).…”

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confidence: 99%