Perioperative management of Patients with Obstructive Sleep Apnea

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Arnaud Romeo Mbadjeu Hondjeu
Frances Chung
Jean Wong


Obstructive sleep apnea, perioperative outcomes


Obstructive sleep apnea (OSA) is the most common form of sleep-disordered breathing with up to 60% of surgical patients with moderate-to-severe OSA unrecognized at the time of preoperative assessment. OSA is a known modifier of perioperative outcomes, with an increase in difficult airway management and postoper-ative morbidity with early and late serious complications that may occasionally result in death. It is critical to identify at-risk patients during the preoperative period as it allows for risk stratification and mitigation, and postoperative monitoring. In this review, we will discuss the preoperative assessment, and intraoperative and postoperative management of patients with diagnosed or suspected OSA.

Le syndrome d'apnées obstructives du sommeil (SAOS) est la forme la plus frequente de troubles respira-toires du sommeil avec jusqu'à 60 % des patients chirurgicaux atteints de formes modérée à sévère de SAOS sans diagnostic formel ni traitement spécifique au moment de l'évaluation préopératoire. Le SAOS altère les résultats périopératoires, avec une augmentation de la gestion difficile des voies respiratoires et de la morbidité postopératoire associée à des complications critiques précoces et tardives pouvant parfois entraîner la mort. il est donc essentiel d'identifier les patients à risque pendant la période préopératoire enfin d'appliquer des procédures de modération de risque, ainsi que des précautions et une surveillance adéquates. Dans cette revue, après un aperçu de la physiopathologie du SAOS, nous discuterons de l'évaluation préopératoire, de la prise en charge intraopératoire et postopératoire des patients atteints de SAOS confirmée ou suspectée.

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