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Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie 5/2019

01-05-2019 | Sleep Apnea | Correspondence

Routine preoperative obstructive sleep apnea screening of elective surgical patients: a single-centre three-month experience

Authors: Donald J. Young, MD, FRCPC, Alexander Dotto, MD, Andrew G. Pritchard, BMSc, Jusung Hwang, MD, Heather Cadenhead, MD, Lauren DeGroot, MD, Michael van der Westhuizen, MD, Simon L. Adamson, MD, Lisa Jin, MD, Dannielle Tinker, MD

Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Issue 5/2019

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Excerpt

To the Editor,
Table
Comparison of registered nurse-recorded complications encountered in the PACU* based on STOP-BANG < 3 or ≥ 3, and STOP-BANG < 5 or ≥ 5.
PACU complication
STOP-BANG < 3
STOP-BANG ≥ 3
 
STOP-BANG < 5
STOP-BANG ≥ 5
 
n for analysis
n (%)
n for analysis
n (%)
P value
n for analysis
n (%)
n for analysis
n (%)
P value
Desaturation (VGH & UBCH)†
633
28 (4.4)
680
37 (5.4)
0.32
1125
51 (4.5)
188
12 (6.4)
0.36
Monitored bed required§
(VGH & UBCH)†
633
1 (0.2)
680
9 (1.3)
0.02
1125
6 (0.53)
188
4 (2.1)
0.04
New PAP required
(VGH & UBCH)†
633
0
680
5 (0.7)
0.06
1125
0
188
5 (2.7)
<0.001
Post-op ventilation (VGH only)‡
245
2 (0.8)
347
5 (1.4)
0.71
495
5 (1.0)
97
2 (2.1)
0.32
Reintubation in PACU
(VGH only)‡
245
0
347
0
-
495
0
97
0
-
Respiratory arrest in PACU (VGH only)‡
245
0
347
0
-
495
0
97
0
-
ICU = intensive care unit; OR = operating room; OSA = obstructive sleep apnea; PACU = postanesthesia care unit; PAP = positive airway pressure treatment; UBCH = University of British Columbia Hospital; VGH = Vancouver General Hospital. *Not all study patients came to the PACU postoperatively. Potential reasons for this include bypassing the PACU on account of a procedure only under sedation, direct admission to the ICU, or cardiac surgery ICU from the OR, having a procedure out of the main OR such as in radiology or the cardiac catheterization laboratory, or the patient may not have come to surgery despite prior anesthesia consultation. †Complication data collected at both VGH and UBCH sites routinely by the PACU nurses. ‡Complication data collected only at VGH site (a site of higher acuity care) routinely by PACU RNs. §Monitored bed refers to a minimum of continuous pulse oximetry monitoring and immediate nursing intervention if readings are low. Includes high acuity, step down, and critical care units. Data here represent monitoring ordered as a result of patient’s stay in the PACU. This does not represent monitored beds ordered in advance of surgery.
Literature
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Metadata
Title
Routine preoperative obstructive sleep apnea screening of elective surgical patients: a single-centre three-month experience
Authors
Donald J. Young, MD, FRCPC
Alexander Dotto, MD
Andrew G. Pritchard, BMSc
Jusung Hwang, MD
Heather Cadenhead, MD
Lauren DeGroot, MD
Michael van der Westhuizen, MD
Simon L. Adamson, MD
Lisa Jin, MD
Dannielle Tinker, MD
Publication date
01-05-2019
Publisher
Springer International Publishing
Keyword
Sleep Apnea
Published in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Issue 5/2019
Print ISSN: 0832-610X
Electronic ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-019-01318-7

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