Obstructive sleep apnea and modifications in sedation.
Obstructive sleep apnea is a common problem affecting all ages, particularly in conjunction with other pre-existing conditions. Compounding the disorder with the added insult of surgery, anesthesia, analgesia, and sedation requires the medical team continuously to re-evaluate this particular patient population. Physicians and nurses have recognized an increase in morbidity and mortality in patients with obstructive sleep apnea when they are administered anesthesia in conjunction with sedation. There are few reports of sedation alone and obstructive sleep apnea; most studies have been in relation to anesthesia, surgery, patient-controlled analgesia, and sleep-disordered breathing.
Kabeli
Cheryl
C
Department of Cardiology, Champlain Valley Physicians Hospital, Plattsburgh, NY 12901, USA. corishrn@yahoo.com
D000758:Anesthesia / Q000009:adverse effects / Q000379:methods; D015897:Comorbidity; D016292:Procedural Sedation / Q000009:adverse effects / Q000379:methods* / Q000451:nursing; D003422:Critical Care / Q000379:methods*; D016903:Drug Monitoring / Q000379:methods / Q000451:nursing; D006801:Humans; D024802:Nurse's Role; D009730:Nursing Assessment / Q000379:methods; D010348:Patient Care Team; D017286:Polysomnography; D012307:Risk Factors; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D012894:Sleep Stages