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VOLUME 2 , ISSUE 1 ( January-March, 2007 ) > List of Articles


Unrecognized Sleep Apnea in the Surgical Patient: Implications for the Peri-operative Setting

Roop Kaw

Citation Information : Kaw R. Unrecognized Sleep Apnea in the Surgical Patient: Implications for the Peri-operative Setting. Indian Sleep Med 2007; 2 (1):5-10.

DOI: 10.5005/ijsm-2-1-5

License: CC BY-SA 4.0

Published Online: 01-12-2014

Copyright Statement:  Copyright © 2007; The Author(s).


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  1. Loube D, Gay PC, Stuid K et al. Indication for positive airway pressure treatment of adult obstructive sleep apnea patients: a consensus statement. Chest 1999; 115(3); 863- 66.
  2. Young T, Peppard P, and Gottlieb D. Epidemiology of obstructive sleep apnea: a population health perspective. American Journal of Respiratory and Critical Care Medicine 2002; 165: 1217-1239.
  3. Auckley D, Steinel J, Southwell et al. Does screening for sleep apnea with the Berlin Questionnaire predict elective surgery postoperative complications? Sleep 2003; 26(S): A238-239.
  4. Young T, Evans L, Finn L et al. Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middleaged men and women. Sleep 1997; 20 (9): 705-706.
  5. Orr WC, Stahl ML. Sleep disturbances after open heart surgery. American Journal of Cardiology 1977; 39: 196-201.
  6. Knill RL, Moote CA, Skinner MI et al. Anesthesia with abdominal surgery leads to intense REM sleep during the first postoperative week. Anesthesiology 1990;73: 52-61.
  7. Aurell J, Elmqvist D. Sleep in the surgical intensive care unit: continuous polygraphic recording of sleep in nine patients receiving postoperative care. British Medical Journal 1985; 290: 1029-1032.
  8. Rosenberg J, Wildschiodtz G, Pedersen MH, et al. Late postoperative nocturnal episodic hypoxemia and associated sleep pattern. British Journal of Anesthesia 1994; 72: 145- 150.
  9. Ellis BW, Dudley HAF. Some aspects of sleep research in surgical stress. Journal of Psychosomatic Research 1976; 20: 303-308.
  10. Reeder MK, Goldman MD, Loh L, et al. Late postoperative nocturnal dips in oxygen saturation in patients undergoing major abdominal vascular surgery. Anesthesia 1992, Vol 47, 110-115.
  11. Moote CA, Knill RL, Skinner MI et al. Morphine disrupts nocturnal sleep in a dose- dependent fashion. Anesthesia & Analgesia 1989; 68:S200.
  12. Boushra NN. Anesthetic management of patients with sleep apnea syndrome. Canadian Journal of Anesthesia 1996; 43(6):599-616.
  13. Gill NP, Wright B, Reilly CS. Relationship between hypoxemic and cardiac ischemic events in the peri-operative period. British Journal of Anesthesia 1992; 68:471-473.
  14. Goldman MD, Reeder MK, Muir AD, et al. Repetitive nocturnal arterial oxygen desaturation and silent myocardial ischemia in patients presenting for vascular surgery. Journal of American Geriatric Society 41: 703-9.
  15. Reeder MK, Muir AD, Foex P et al. Postoperative myocardial ischemia: temporal association with nocturnal hypoxemia. British Journal of Anesthesia 1991;67: 626-31.
  16. Rosenberg J, Kehlet H. Postoperative mental confusionassociation with postoperative hypoxemia. Surgery 1993;114: 76-81.
  17. Cherniack NS. Respiratory dysrhythmias during sleep. NEJM. 1981; 305: 325-330.
  18. Eastwood PR, Szollosi I, Platt PR et al: Comparison of upper airway collapse during General anesthesia and sleep. Lancet 2002, 359:1207-1209.
  19. Knill RL, Skinner MI, Novick T et al. The night of intense REM sleep after anesthesia and surgery increases urinary catecholamines. Canadian Journal of Anesthesia 1990;37: S 12.
  20. Mancia G. Autonomic modulation of the cardiovascular system during sleep. New England Journal of Medicine 1993; 328:347-349.
  21. Reeder MK, Goldman MD, Loh L et al. Postoperative obstructive sleep apnea: hemodynamic effects of treatment with nasal CPAP. Anesthesia 1991; 46:849-853.
  22. Grote L, Kraiczi H, Hedner J. Reduced alpha and beta 2- adrenergic vascular response in patients with obstructive sleep apnea. American J Respiratory Crit Care Med 2000; 162;1480-1487.
  23. Rosenberg J, Pedersen NH, Ramsingh et al. Circadian variation in unexpected postoperative death. British Journal of Surgery. 1992; 79:1300-1302.
  24. Hanly P, Sasson Z, Zuberi N, et al. ST-segment depression during sleep in obstructive sleep apnea. American Journal of Cardiology 1993; 71:1341- 1345.
  25. Shahar E, Whitney C, Redline S, et al. Sleep-disordered Breathing & Cardiovascular Disease. American Journal of Respiratory & Critical Care Medicine. 2001 Vol 163, (1),19- 25.
  26. Hung J, Whitford BG, Parsons RW et al: Association of sleep apnea with myocardial infarction in men. Lancet 1990; 336; 261-264.
  27. Shepard JW Jr, Garrison MW, Grither DA, et al: Relationship of ventricular ectopy to nocturnal oxygen desaturation in patients with obstructive sleep apnea. Chest 1985; 88; 335-340.
  28. Guilleminault C, Conolly SJ, Winkle RA et al; Cardiac arrhythmia and conduction disturbances during sleep in 400 patients with sleep apnea syndrome. Am J of Cardiology 1983; 52:490-494.
  29. Miller WP: Cardiac arrhythmias and conduction disturbances in the sleep apnea syndrome. Am J Med 1982; 73: 317-321.
  30. Mehra R, Nawabit T, Kirchner H et al. Association of nocturnal arrhythmias with sleep-disordered breathing: The Sleep Heart Health Study. Sleep 2004; 27(S): A213.
  31. Gupta R, Parvizi, J, Hanssen, A et al. Postoperative complications in Patients with Obstructive Sleep Apnea Syndrome Undergoing Hip or Knee Replacement: A Case- Control study. Mayo Clinic Proceedings 2001; 76(9): 897- 905.
  32. Mooe T, Gullsby S, Rabben T et al.. Sleep-disordered breathing: a novel predictor of atrial fibrillation after coronary artery bypass surgery. Coronary artery Disease 1996; 7: 475-478.
  33. Sharma VK, Galli W, Haber al. Unexpected Risks during Administration of conscious sedation : Previously undiagnosed Obstructive Sleep Apnea. Annals of Internal Medicine. 2003; 139(8): 707-708.
  34. Wilson K, Stoohs RA, Mulrooney TF et al: The snoring spectum: acoustic assessment of snoring sound intensity in 1139 individuals undergoing polysomnography. Chest 1999; 115: 762-770.
  35. Grunstein R, Wilcox I, Yang TS et al.: Snoring and sleep apnea in men: association with central obesity and hypertension. International Journal of Obesity Related Metabolic Disorders 1993; 17:553-540.
  36. Esclamado RM, Glenn MG, McCulloch TM et al : Perioperative complications and risk factors in the surgical treatment of obstructive sleep apnea syndrome. Laryngoscope 1989,99 :1125-1129.
  37. Redline S, Strohl K. Recognition and consequences of obstructive sleep apnea hypopnea syndrome. Clinics in Chest Medicine. 1998; 19:1-19.
  38. Mallampati SR, Gatt SP, Gugino LD et al: A clinical sign to predict difficult tracheal intubation : a prospective study. Can Anesth Soc J 1985, 32:429-434.
  39. Ostermeier A, Roizen M, Hautkappe M et al. Three sudden Postoperative Patients Respiratory Arrests Associated with epidural Opiods in with Sleep Apnea. Anesthesia & Analgesia 1997.Vol 85(2). 452-460.
  40. Renotte M, Baele. P, Aubert G et al. Continuous Positive Airway Pressure in the Peri-operative Management of Patients With Obstructive Sleep Apnea submitted to Surgery. Chest 1995 Vol.107(2). pp 367-374.
  41. Tung A, Rock P. Perioperative concerns in sleep apnea. Current opinion in Anesthesiology 2001,14:671-678.
  42. Lin CC. Effect of nasal CPAP on ventilatory drive in normocapnic & hypercapnic patients with obstructive sleep. European Respiratory Journal 1994; 7: 2005-2010.
  43. Hers V, Liisto G, Dury M, et al: Residual effect of CPAP applied for part of the night in patients with obstructive sleep apnea. European Respiratory Journal 1997; 10:973- 76.
  44. Peled N, Abinader EG, Pillar G et al. Nocturnal ischemic events in patients with obstructive sleep apnea syndrome & ischemic heart disease: effects of CPAP. Journal of American College of Cardiology 1999; 34:1744-1749.
  45. Kanagala R, Murali NS, Friedman PA et al. Obstructive sleep apnea & the recurrence of atrial fibrillation. Circulation 2003; 107: 2589-2594.
  46. Hanly P, Sasson Z, Zuberi N, et al. ST-segment depression during sleep in obstructive sleep apnea. American Journal of Cardiology 1993; 71:1341- 1345.
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