Society of anesthesia and sleep medicine guideline on intraoperative management of adult patients with obstructive sleep apnea

Stavros G. Memtsoudis, Crispiana Cozowicz, Mahesh Nagappa, Jean Wong, Girish P Joshi, David T. Wong, Anthony G. Doufas, Meltem Yilmaz, Mark H. Stein, Megan L. Krajewski, Mandeep Singh, Lukas Pichler, Satya Krishna Ramachandran, Frances Chung

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

The purpose of the Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea (OSA) is to present recommendations based on current scientific evidence. This guideline seeks to address questions regarding the intraoperative care of patients with OSA, including airway management, anesthetic drug and agent effects, and choice of anesthesia type. Given the paucity of high-quality studies with regard to study design and execution in this perioperative field, recommendations were to a large part developed by subject-matter experts through consensus processes, taking into account the current scientific knowledge base and quality of evidence. This guideline may not be suitable for all clinical settings and patients and is not intended to define standards of care or absolute requirements for patient care; thus, assessment of appropriateness should be made on an individualized basis. Adherence to this guideline cannot guarantee successful outcomes, but recommendations should rather aid health care professionals and institutions to formulate plans and develop protocols for the improvement of the perioperative care of patients with OSA, considering patient-related factors, interventions, and resource availability. Given the groundwork of a comprehensive systematic literature review, these recommendations reflect the current state of knowledge and its interpretation by a group of experts at the time of publication. While periodic reevaluations of literature are needed, novel scientific evidence between updates should be taken into account. Deviations in practice from the guideline may be justifiable and should not be interpreted as a basis for claims of negligence.

Original languageEnglish (US)
Pages (from-to)967-987
Number of pages21
JournalAnesthesia and analgesia
Volume127
Issue number4
DOIs
StatePublished - Jan 1 2018

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Obstructive Sleep Apnea
Sleep
Anesthesia
Medicine
Guidelines
Anesthetics
Intraoperative Care
Perioperative Care
Guideline Adherence
Airway Management
Knowledge Bases
Malpractice
Standard of Care
Practice Guidelines
Publications
Consensus
Patient Care
Delivery of Health Care

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Society of anesthesia and sleep medicine guideline on intraoperative management of adult patients with obstructive sleep apnea. / Memtsoudis, Stavros G.; Cozowicz, Crispiana; Nagappa, Mahesh; Wong, Jean; Joshi, Girish P; Wong, David T.; Doufas, Anthony G.; Yilmaz, Meltem; Stein, Mark H.; Krajewski, Megan L.; Singh, Mandeep; Pichler, Lukas; Ramachandran, Satya Krishna; Chung, Frances.

In: Anesthesia and analgesia, Vol. 127, No. 4, 01.01.2018, p. 967-987.

Research output: Contribution to journalArticle

Memtsoudis, SG, Cozowicz, C, Nagappa, M, Wong, J, Joshi, GP, Wong, DT, Doufas, AG, Yilmaz, M, Stein, MH, Krajewski, ML, Singh, M, Pichler, L, Ramachandran, SK & Chung, F 2018, 'Society of anesthesia and sleep medicine guideline on intraoperative management of adult patients with obstructive sleep apnea', Anesthesia and analgesia, vol. 127, no. 4, pp. 967-987. https://doi.org/10.1213/ANE.0000000000003434
Memtsoudis, Stavros G. ; Cozowicz, Crispiana ; Nagappa, Mahesh ; Wong, Jean ; Joshi, Girish P ; Wong, David T. ; Doufas, Anthony G. ; Yilmaz, Meltem ; Stein, Mark H. ; Krajewski, Megan L. ; Singh, Mandeep ; Pichler, Lukas ; Ramachandran, Satya Krishna ; Chung, Frances. / Society of anesthesia and sleep medicine guideline on intraoperative management of adult patients with obstructive sleep apnea. In: Anesthesia and analgesia. 2018 ; Vol. 127, No. 4. pp. 967-987.
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