Tag: Sleep Apnea

Sleep disorders linked to more severe COVID-19 outcomes

Editor's Note In this study, Cleveland Clinic researchers find that patients with certain sleep disorders have more severe outcomes from COVID-19. The analysis included 5,402 patients. Although patients with sleep-disordered breathing and sleep-related hypoxia did not have an increased risk of developing COVID-19, they had a worse clinical prognosis from…

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By: Judy Mathias
November 15, 2021
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Are obese patients good candidates for the outpatient setting?

Obesity rates and, consequently, obstructive sleep apnea (OSA) are on the rise in the US, and an increasing number of obese patients are undergoing surgical procedures at ambulatory surgery centers (ASCs). Healthcare providers at such facilities are adding procedures and taking steps to ensure the safety of patients whose body…

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By: Jennifer Lubell
October 21, 2019
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New calculator predicts outcomes for metabolic, bariatric surgery patients

Editor's Note A new surgical risk/benefit calculator that can predict a bariatric/metabolic patient’s possibility of postoperative remission at 1 year for five weight-related comorbidities will soon be released by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), the American College of Surgeons (ACS) announced on August 20.…

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By: Judy Mathias
August 21, 2019
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OSA screening boosts patient safety and bottom line

An estimated 22 million people in the US have obstructive sleep apnea (OSA), but up to 80% of cases are undiagnosed, and some 30% to 40% of the surgical population has diagnosed or suspected sleep apnea. More than 3 years ago, the Joint Commission issued a Quick Safety document about…

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By: OR Manager
February 20, 2019
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SASM issues guideline on intraop management of adults with OSA

Editor's Note The Society of Anesthesia and Sleep Medicine (SASM) has issued a new guideline on Intraoperative Management of Adult Patients with Obstructive Sleep Apnea (OSA). Specific aims of the guideline are to: evaluate considerations of difficult airway management in patients with OSA assess the impact of anesthesia-related drugs and…

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By: Judy Mathias
October 9, 2018
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Postop outcomes in OSA patients having cardiac surgery

Editor's Note Obstructive sleep apnea (OSA) is an important risk factor for postoperative complications in cardiac surgery patients, finds this meta-analysis led by Frances Chung, MD, a noted expert on OSA. After cardiac surgery, major adverse cardiac or cerebrovascular events and newly documented postoperative atrial fibrillation were 33.3% and 18.1%…

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By: Judy Mathias
December 7, 2017
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STOP-Bang screening associated with risk of postop complications in OSA patients

Editor's Note This meta-analysis found that patients at higher risk for obstructive sleep apnea (OSA), as determined by preoperative STOP-Bang screening, had a higher risk of postoperative adverse events and longer length of hospital stay, compared with lower risk-OSA patients. The analysis included 10 studies with 23,609 patients (7,877 high-risk…

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By: Judy Mathias
August 28, 2017
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Outcomes in patients diagnosed with OSA during preop screening vs previously diagnosed

Editor's Note In this study, patients diagnosed on the day of surgery as moderate to high risk for obstructive sleep apnea (OSA) had similar rates of adverse respiratory events (ie, perioperative hypoxemia and difficult airway management) as patients who had been diagnosed with OSA previously. However, those diagnosed with OSA…

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By: Judy Mathias
August 14, 2017
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Trends in treating total joint patients with OSA

Editor's Note This population-based analysis finds that implementation of obstructive sleep apnea (OSA) interventions in total joint patients is limited, with some current trends virtually in contrast to practice guidelines. Of more than 1 million patients analyzed, anesthetic techniques did not differ by OSA status, and overall, less than 25%…

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By: Judy Mathias
July 19, 2017
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USPSTF finds insufficient evidence for OSA screening

Editor's Note In its process for issuing a new recommendation on screening for obstructive sleep apnea (OSA) in asymptomatic adults or adults with unrecognized symptoms, the US Preventive Services Task Force (USPSTF) found insufficient evidence on screening for or treatment of OSA. The USPSTF concluded that the current evidence is…

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By: Judy Mathias
January 26, 2017
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