Preoperative Screening for Obstructive Sleep Apnea and Outcomes in PACU.

CONCLUSIONS: This study did not affirm that patients with OSA experienced a higher incidence of oxygen desaturation or respiratory symptoms despite receiving additional monitoring in PACU. PMID: 29754874 [PubMed - as supplied by publisher]
Source: Journal of Perianesthesia Nursing - Category: Nursing Authors: Tags: J Perianesth Nurs Source Type: research

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This study demonstrated ultrasonography in predicting difficult laryngoscopy lacked utility. Ultrasound utilization as an efficacious means of difficult airway assessment requires further research with a larger sample size. Further studies using sonography on those patients with known difficult airways may provide data to determine if ultrasound has utility in predicting difficult laryngoscopy.
Source: Trends in Anaesthesia and Critical Care - Category: Anesthesiology Source Type: research
Abstract BACKGROUND: We developed and implemented a perioperative guideline for obstructive sleep apnea (OSA), comprising a preoperative screening tool (BOSTN) and clinical management pathways. OSA was suspected with 2 or more of the following: body mass index ≥30 kg/m, observed apnea, loud snoring, daytime tiredness, and neck circumference ≥16.5 inches in women or ≥ 17.5 inches in men. The primary objective of this study was to assess the association between high BOSTN scores and the requirement of invasive mechanical ventilation after surgery. METHODS: In this hospital registry study, 169,662 nonca...
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
(Am J Obstet Gynecol. 2018;219(2):147–161) Sleep-disordered breathing (SDB) consists of a spectrum of respiratory and ventilation abnormalities ranging from snoring to obstructive sleep apnea and is an increasingly common condition in the nonobstetric population. It can be associated with morbidity. The incidence of SDB in pregnant women is unknown and many cases likely go undiagnosed. This systematic review and metaanalysis aimed to determine whether pregnant women diagnosed with SDB were more likely to have adverse intrapartum and perinatal outcomes compared with control subjects.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Editorials and Reviews Source Type: research
Obstructive sleep apnea (OSA), a condition in which the soft tissues of the throat relax and narrow the airways during sleep, may raise the risk of developing heart problems after surgery, according toresearch published this week inJAMA. In OSA, breathing stops and starts multiple times during sleep, resulting in snoring, gasping for air, poor sleep quality, morning headaches, daytime fatigue, irritability, and difficulty concentrating.The study, led by Matthew T. V. Chan, Ph.D., M.B.B.S., of the Chinese University of Hong Kong included 1,218 patients aged 45 years or older who had abdominal, vascular, or major orthopedic ...
Source: Psychiatr News - Category: Psychiatry Tags: anesthesia cardiovascular disease heart problems JAMA Matthew Chan obstructive sleep apnea OSA sleep problems surgery Source Type: research
This study was undertaken to measure nasopharyngeal width in children undergoing adenotonsillectomy for sleep-disordered breathing and to investigate the clinical implications of this factor. Methods: This was a retrospective study with a follow-up period of 1 year, performed at a tertiary referral center. We reviewed the operative records of children who underwent adenotonsillectomy at our center for symptoms of sleepdisordered breathing, such as snoring, apnea, and mouth breathing. The nasopharyngeal width was measured immediately before adenotonsillectomy, which was performed under general anesthesia with a microsco...
Source: Clinical and Experimental Otorhinolaryngology - Category: ENT & OMF Tags: Clin Exp Otorhinolaryngol Source Type: research
A rhinoplasty, or nose job, is surgery performed to alter the way your nose functions and looks. According to the American Society of Plastic Surgeons, nearly 220,000 rhinoplasties are performed yearly, making this the most common facial plastic surgery procedure. Rhinoplasty can simultaneously help you improve breathing and achieve a more balanced appearance. Is rhinoplasty right for me? A common medical reason for rhinoplasty is difficulty breathing through the nose. Nasal obstruction can cause problems with exercise, disturb sleep, contribute to snoring and sleep apnea, or interfere with other activities. If medical tre...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Cosmetic surgery Ear, nose, and throat Source Type: blogs
Cook Medical and Zelegent, a company out of La Jolla, California, announced that the FDA cleared the Elevo Kit Snoring Intervention Device. The Elevo is used to position special sutures so as to lift the soft palate, the rear roof of the mouth. Alexa...
Source: Medgadget - Category: Medical Devices Authors: Tags: ENT Source Type: blogs
Zelegent’s Elevoplasty device shortens, elevates and stiffens the soft palate to prevent snoring. Just a month after receiving FDA 510(k) approval for its new anti-snoring device, startup Zelegent has signed a marketing agreement with Cook Medical, the companies announced. Zelegent’s Elevo kit snoring intervention device employs specially shaped, resorbable, barbed sutures to lift the soft palate by1-4 millimeters, expanding the mean diameter of the airway. In a typical snoring patient who doesn’t have sleep apnea, the airway is just barely obstructed by the soft palate, the compa...
Source: Mass Device - Category: Medical Devices Authors: Tags: Blog Source Type: news
CONCLUSIONS: The NAPS method of sedation for DISE seems safe and feasible when performed by trained staff in a hospital setting. PMID: 30364918 [PubMed - as supplied by publisher]
Source: Rhinology - Category: ENT & OMF Tags: Rhinology Source Type: research
The patient is a 58-year-old Iranian American man with long-standing snoring that progressively worsened 4 years ago. Home sleep apnea testing (HSAT) showed an apnea hypopnea index (AHI) of 51.1 events per hour, and patient was started on auto-CPAP with pressure range of 5-20 cm delivered through a nasal mask. Recently while attempting to undergo elective cosmetic facial surgery, his anesthesiologist found his “tongue too large,” and the surgery was cancelled. Subsequent otolaryngology consultation, including computerized tomography of the neck soft tissue revealed a large lingual thyroglossal duct cyst (TDC), ...
Source: Sleep Medicine - Category: Sleep Medicine Authors: Tags: Images in Sleep Medicine Source Type: research
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