Cic edizioni internazionali
Shortness of Breath

Obstructive sleep apnea and anaesthesia: perioperative issues

Mini-Review, 72 - 79
doi: 10.11138/sob/2013.2.2.072
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Obstructive sleep apnea (OSA) is a common problem in public health care and yet, the perioperative management of OSA remains inadequate. Patients affected by this condition are prone to early postoperative complications, in part due to the negative effects of sedative, analgesic, and anesthetic agents on pharyngeal tone and the arousal responses to hypoxia, hypercarbia,
and obstruction. The use of opioids may also contribute to late adverse events, mainly by suppressing rapid eyes movement (REM) in sleep. As a consequence, preoperative screening of patients at a high risk of OSA as well as the implementation of a perioperative strategy to reduce the risk of complications, may lead to early perioperative interventions capable of improving patient outcome.