title: Use of a home positive airway pressure device during intraoperative monitored anesthesia care for outpatient surgery.
abstract: Perioperative 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.
authors.affiliation: Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
authors.forename: Lindsay
authors.initials: L
authors.lastname: Borg
authors.affiliation: Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.|Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue (112A), Palo Alto, CA, 94304, USA.
authors.forename: Tessa L
authors.initials: TL
authors.lastname: Walters
authors.affiliation: Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.|Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue (112A), Palo Alto, CA, 94304, USA.
authors.forename: Lawrence C
authors.initials: LC
authors.lastname: Siegel
authors.affiliation: Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue (112A), Palo Alto, CA, 94304, USA.
authors.forename: John
authors.initials: J
authors.lastname: Dazols
authors.affiliation: Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA. emariano@stanford.edu.|Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue (112A), Palo Alto, CA, 94304, USA. emariano@stanford.edu.
authors.forename: Edward R
authors.initials: ER
authors.lastname: Mariano
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000379:methods*; D000758:Anesthesia / Q000379:methods*; D016292:Procedural Sedation; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D020181:Sleep Apnea, Obstructive / Q000503:physiopathology
keywords: Monitored anesthesia care; Obstructive sleep apnea; Outpatient surgery; Positive airway pressure