Journal of Clinical Anesthesia
Volume 21, Issue 4 , Pages 286-293, June 2009

Avoiding adverse outcomes in patients with obstructive sleep apnea (OSA): development and implementation of a perioperative OSA protocol☆

  • Norman Bolden, MD (Assistant Professor)

      Affiliations

    • Department of Anesthesia, Case Western Reserve University School of Medicine, Cleveland, OH 44109, USA
    • Department of Anesthesia, MetroHealth Medical Center, Cleveland, OH 44109, USA
    • Corresponding Author InformationCorresponding author. Department of Anesthesia, MetroHealth Medical Center, Cleveland, OH 44109, USA. Tel.: +1 216 778 4801; fax: +1 216 778 5378.
    • ,
  • Charles E. Smith, MD, FRCPC (Professor)

      Affiliations

    • Department of Anesthesia, Case Western Reserve University School of Medicine, Cleveland, OH 44109, USA
    • Department of Anesthesia, MetroHealth Medical Center, Cleveland, OH 44109, USA
    • ,
  • Dennis Auckley, MD (Associate Professor)

      Affiliations

    • Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH 44109, USA
    • Division of Pulmonary, Critical Care, and Sleep Medicine, MetroHealth Medical Center, Cleveland, OH 44109, USA

Received 30 June 2007; received in revised form 21 July 2008; accepted 2 August 2008. published online 13 May 2009.

Abstract 

Obstructive sleep apnea (OSA) is associated with postoperative airway obstruction, hypoxemia, cardiac arrhythmias, cardiorespiratory arrest, hypoxic encephalopathy, and death. Three cases highlighting important issues in patients with OSA are presented that occurred prior to and after implementation of an OSA protocol.

Keywords: Obstructive sleep apnea, Obstructive sleep apnea protocol, Perioperative management

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☆ Financial support was provided by the Department of Anesthesia, MetroHealth Medical Center. Institutional support was provided by MetroHealth Medical Center, Cleveland, OH.

PII: S0952-8180(09)00107-X

doi:10.1016/j.jclinane.2008.08.023

Journal of Clinical Anesthesia
Volume 21, Issue 4 , Pages 286-293, June 2009

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