(OSA)
OSA: INTRODUCTION
OSA: DIAGNOSIS
Hypoxia
Hypercarbia
Brain says Wake Up!
Tired During the Day
Daytime sleepiness
Impaired cognition
Anxiety / Depression
Hypertension
Heart failure
Angina
Heart attack
Many patients that don't look like they should have OSA
(because they are not overweight with a thick neck) do in
fact have OSA;
Physical characteristics:
Obesity (BMI greater than 35)
Neck circumference greater than 17
inches for men or 16 inches for women
Craniofacial abnormalities
Anatomical nasal obstruction
Tonsillar hypertrophy
Somnolence (one or more of the following) Frequent daytime sleepiness or fatigue despite
adequate sleep;
Falls asleep frequently in non-stimulating
environment;
Airway collapse;
References
American Society of Anesthesiologists (2006). Practice Guidelines for the
Perioperative Management of Patients with Obstructive Sleep Apnea.
Anesthesiology: 2006; 104:108193.
American Society of Anesthesiologists (2008). STOP Questionnaire: A
Tool To Screen Patients For Obstructive Sleep Apnea. Anesthesiology:
2008;108: 812-821.
ASGE (2009). Sedation Facts. Retrieved online 10/05/2009 at
www.sedationfacts.org...
Gazayerli M et al (2006). A correlation between the shape of the
epiglottis and obstructive sleep apnea. Surg Endosc. 2006
May;20(5):836-7.
Moos DD. (2006). Obstructive sleep apnea and sedation in the endoscopy
suite. Gastroenterol Nurs. 2006 Nov-Dec;29(6):456-63.
Ramachandran, S.K. and Josephs, L. (2009). A Meta-analysis of Clinical
Screening Tests for Obstructive Sleep Apnea. Anesthesiology. 2009; 110:
928-939.
Villegas T. (2004). Sleep apnea and moderate sedation. Gastroenterol
Nurs. 2004;27(3):121-124.