• Oral Maxillofac Surg Clin North Am · Nov 2009

    Review

    Anesthetic and postoperative management of the obstructive sleep apnea patient.

    • Samuel A Mickelson.
    • Advanced Ear Nose & Throat Associates PC, Atlanta, GA 30342, USA. sammickelson@earthlink.net
    • Oral Maxillofac Surg Clin North Am. 2009 Nov 1;21(4):425-34.

    AbstractSleep apnea patients pose a challenge for surgeons, anesthesiologists, and surgical facilities as there is increased risk for anesthetic and postoperative complications. Precautions before and after surgery minimize these risks. Screening for sleep apnea should be done for all surgical patients. Safe perioperative management requires judicious use of narcotics and sedating medications, reducing upper airway edema, prevention of aspiration and deep vein thrombosis, blood pressure control, use of positive airway pressure, and proper postoperative monitoring. Although the literature lacks specific recommendations, the guidelines presented in this article are based on more than 20 years of experience and supported by peer-reviewed medical literature.

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