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Journal of anesthesia · Aug 2016
Case ReportsUse of a home positive airway pressure device during intraoperative monitored anesthesia care for outpatient surgery.
- Lindsay Borg, Tessa L Walters, Lawrence C Siegel, John Dazols, and Edward R Mariano.
- Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
- J Anesth. 2016 Aug 1; 30 (4): 707-10.
AbstractPerioperative positive airway pressure (PAP) is recommended by the American Society of Anesthesiologists for patients with obstructive sleep apnea, but a readily available and personalized intraoperative delivery system does not exist. We present the successful use of a patient's own nasal PAP machine in the operating room during outpatient foot surgery which required addition of a straight adaptor for oxygen delivery and careful positioning of the gas sampling line to permit end-tidal carbox dioxide monitoring. Home PAP machines may provide a potential alternative to more invasive methods of airway management for patients with obstructive sleep apnea under moderate sedation.
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