Obstructive sleep apnoea and anaesthesia

David R Hillman; John A Loadsman; Peter R Platt; Peter R Eastwood

doi:10.1016/j.smrv.2004.07.002

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Obstructive sleep apnoea and anaesthesia

Journal article

Peer reviewed

Obstructive sleep apnoea and anaesthesia

David R Hillman, John A Loadsman, Peter R Platt and Peter R Eastwood

Sleep medicine reviews, Vol.8(6), pp.459-471

2004

DOI: https://doi.org/10.1016/j.smrv.2004.07.002

PMID: 15556378

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Abstract

Sleep

Anaesthesia

Upper airway

Obstructive sleep apnoea

Tracheal intubation

Surgery

Upper airway obstruction is common during both anaesthesia and sleep, as a result of loss of muscle tone present during wakefulness. Patients with obstructive sleep apnoea (OSA) are vulnerable during anaesthesia and sedation as the effects of loss of wakefulness are compounded by drug-induced depression of muscle activity and of arousal responses, so that they cannot respond to asphyxia. Conversely, those with ‘difficult’ airways during anaesthesia, either because of problems with maintenance of airway patency without tracheal intubation or because intubation itself is problematic, are at increased risk of OSA. These relationships have clinical importance. On the one hand identification of patients with OSA forewarns the anaesthetist of potential difficulty with airway maintenance intra- and postoperatively, influencing choice of anaesthetic technique and postoperative nursing environment. On the other hand difficulty with airway maintenance during anaesthesia should prompt further investigation for the possibility of OSA.

Details

Title: Obstructive sleep apnoea and anaesthesia
Authors/Creators: David R Hillman - Sir Charles Gairdner Hospital
John A Loadsman - Royal Prince Alfred Hospital
Peter R Platt - Sir Charles Gairdner Hospital
Peter R Eastwood - The University of Western Australia
Publication Details: Sleep medicine reviews, Vol.8(6), pp.459-471
Identifiers: 991005592769407891
Murdoch Affiliation: Vice Chancellery
Language: English
Resource Type: Journal article

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Collaboration types: Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.137 Sleep Science & Circadian Systems; 1.137.382 Obstructive Sleep Apnea
Web Of Science research areas: Clinical Neurology; Neurosciences
ESI research areas: Neuroscience & Behavior