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Sleep and Breathing
Published in: Sleep and Breathing 3/2012

01-09-2012 | Editorial

Gastrointestinal endoscopy in patients with obstructive sleep apnea syndrome

Authors: Felix del Campo, Carlos Zamarrón

Published in: Sleep and Breathing | Issue 3/2012

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Excerpt

Patients with obstructive sleep apnea syndrome (OSAS) may be exquisitely sensitive to central nervous system depressant drugs showing potential for upper airway obstruction or apnea with even minimal doses of these drugs [1, 2]. The anesthetic complications in OSAS patients may be due to multiple factors including collapse of the upper airway, type of surgery and anesthesia, and other associated conditions such as obesity. Since gastrointestinal endoscopy is a medical procedure requiring an anesthetic or analgesic, complications may be expected to occur more frequently in patients with OSAS. …
Literature
1.
Adesanya AO, Lee W, Greilich NB, Joshi GP (2010) Perioperative management of obstructive sleep apnea. Chest 138:1489–1498PubMedCrossRef
2.
Mickelson SA (2007) Preoperative and postoperative management of obstructive sleep apnea patients. Otolaryngol Clin North Am 40:877–889PubMedCrossRef
3.
del Campo F, de Frutos J, Sánchez A (2008) Acute respiratory failure immediately following surgery for morbid obesity. Arch Bronconeumol 44:449–450
4.
Gross JB, Bachenberg KL, Benumof JL, Caplan RA, Connis RT (2006) Practice guidelines for perioperative management of patients with obstructive sleep apnea: a report by the American Society of Anesthesiologists Task Force on Perioperative Management of patients with obstructive sleep apnea. Anesthesiology 104:1081–1093PubMedCrossRef
5.
Fleetham J, Ayas N, Bradley D, Fitzpatrick M, Oliver T, Morrison D, Ryan F, Series F, Skomro R, Tsai W (2006) Canadian Thoracic Society guidelines: diagnosis and treatment of sleep disordered breathing in adults. Can Respir J 13:387–392PubMed
6.
Lloberes P, Durán-Cantolla J, Martínez-García MA, Marín JM, Ferrer A, Corral J, Masa JF, Parra O, Alonso-Álvarez ML, Terán-Santos J (2011) Diagnosis and treatment of sleep apnea-hypopnea syndrome. Arch Bronconeumol 47:143–156PubMedCrossRef
7.
Thomson A, Andrew G, Jones DB (2010) Optimal sedation for gastrointestinal endoscopy: review and recommendations. J Gastroenterol Hepatol 25:469–478PubMedCrossRef
8.
Meoli AL, Rosen CL, Kristo D, Kohrman M, Gooneratne N, Aguillard RN, Fayle R, Troell R, Kramer R, Casey KR, Coleman J Jr (2003) Upper airway management of the adult patient with obstructive sleep apnea in the preoperative period-avoiding complications. Sleep 26:1060–1065PubMed
9.
Khiani VS, Salah W, Maimone S, Cummings L, Chak A (2009) Sedation during endoscopy for patients at risk of obstructive sleep apnea. Gastrointest Endosc 70:1116–1120PubMedCrossRef
10.
Mador MJ, Abo Khamis M, Nag N, Mreyoud A, Jallu S, Mehboob S (2010) Does sleep apnea increase the risk of cardiorespiratory complications during endoscopy procedures. Sleep Breath. doi:10.​1007/​s11325-010-0346-3
11.
Adler DG, Kawa C, Hilden K, Fang J (2011) Nurse-administered propofol sedation is safe for patients with obstructive sleep apnea undergoing routine endoscopy: a pilot study. Dig Dis Sci. doi:10.​1007/​s10620-011-1645
12.
Mador MJ, Nadler J, Mreyoud A, Khadka G, Gottumukkala VA, Abo-Khamis M, Mehboob S (2011) Do patients at risk of sleep apnea have an increased risk of cardio-respiratory complications during endoscopy procedures. Sleep Breath. doi:10.​1007/​s11325-011-0546-5
13.
Cote GA, Hovis ChE, Hovis RM, Waldbaum L, Early DS, Edmundowicz SA, Azar RR, Mullady DK, Jonnalagadda SS (2010) A screening instrument for sleep apnea predicts airway maneuvers in patients undergoing advanced endoscopic procedures. Clin Gastroenterol Hepatol 8:660–665PubMedCrossRef
14.
Gill J, Vidyarthi G, Kulkarni P, Anderson W, Boyd W (2011) Safety of conscious sedation in patients with sleep apnea in a veteran population. South Med J 104:185–188PubMedCrossRef
15.
Chung F, Ward B, Ho J, Yuan H, Kayumov L, Shapiro C (2007) Preoperative identification of sleep apnea risk in elective surgical patients, using the Berlin questionnaire. J Clin Anesth 19:130–134PubMedCrossRef
Metadata
Title
Gastrointestinal endoscopy in patients with obstructive sleep apnea syndrome
Authors
Felix del Campo
Carlos Zamarrón
Publication date
01-09-2012
Publisher
Springer-Verlag
Published in
Sleep and Breathing / Issue 3/2012
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-011-0577-y

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