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Ambulatory anesthesia for patients with sleep apnea

Authors Raveendran R, Chung F

Received 14 June 2015

Accepted for publication 8 August 2015

Published 3 December 2015 Volume 2015:2 Pages 143—151

DOI https://doi.org/10.2147/AA.S63819

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Gildasio S De Oliveira Jr.

Raviraj Raveendran,1 Frances Chung2

1West Coast District Health Board, Department of Anesthesiology, Greymouth, New Zealand; 2Department of Anesthesiology, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada

Abstract: The prevalence of obstructive sleep apnea (OSA) is increasing, and a significant number of patients with OSA presenting for ambulatory surgeries are undiagnosed. It is well known that patients with OSA have increased postoperative complications. The suitability of ambulatory surgery in patients with OSA remains controversial, and the evidence regarding the safety of OSA patients for ambulatory surgery is inadequate. Anesthesiologists play an important role in identifying, evaluating, and optimizing the OSA patient. Preoperative screening and careful selection of patients for ambulatory surgery is the key step during the perioperative management of OSA patients. With proper screening and clinical algorithm-based management, patients with OSA may be treated safely as ambulatory surgical patients.

Keywords: obstructive sleep apnea, ambulatory surgery, perioperative management, postoperative complications

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