Effects of Anesthesia on Patients Undergoing Surgery for Obstructive Sleep Apnea
- *Corresponding Author:
- Yavuz Selim Yildirim
Department of Otorhinolaryngology and Head and Neck Surgery
Elbistan Devlet Hastanesi, Kulak Burun Bogaz Klinigi
46300, Karaelbistan, Kahramanmaras, Turkey
Tel: +90 344 4138001
Fax: +90 344 4138005
E-mail: [email protected]
Received date: October 17, 2011; Accepted date: November 02, 2011; Published date: November 05, 2011
Citation: Yildirim YS, Apuhan T, Ersözlü T, Bahar I (2011) Effects of Anesthesia on Patients Undergoing Surgery for Obstructive Sleep Apnea. J Anesthe Clinic Res 4:285. doi: 10.4172/2155-6148.1000285
Copyright: © 2011 Yildirim YS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Anesthesia and sleep both predispose to upper airway obstruction induced reductions in pharyngeal dilator muscle activation. Symptoms of obstructive sleep apnea are common in patients presenting for surgery and are associated with increased morbidity. Analgesia contributes significantly to postoperative respiratory depression and obstruction. Screening for sleep apnea should be done for all surgical patients. Every patient diagnosed with OSA, or with clinical suspicion of OSA, should be considered to have a difficult airway, and consequently has increased risk of anesthesia. The possible problems may arise during tracheal intubation, extubation, or with postoperative analgesia, since opioids increase the incidence of pharyngeal collapse. Patients with known or suspected obstructive sleep apnea need careful postoperative management. Postoperative monitoring for apnea, desaturation, and dysrhythmias is a necessity in sleep apnea patients.