Abstract:
:A 74-year-old man presenting for aortic reconstructive surgery showed severe, previously undiagnosed obstructive sleep apnoea during overnight oximetry monitoring before operation. Postoperatively, in the first 4 hours following extubation, he suffered 238 episodes of respiratory obstruction. These events were associated with frequent arousals, large fluctuations in systolic and diastolic blood pressure. Administration of nasal continuous positive airways pressure abolished the obstructions and allowed an uninterrupted night's sleep, with a significantly reduced blood pressure. Subsequent dips in oxygen saturation as a result of respiratory obstruction recurred on the fifth postoperative night. We conclude that pre-operative overnight oximetry may be useful in identifying those patients at risk of postoperative upper airway obstruction. Use of nasal continuous positive airway pressure may prevent the occurrence of early postoperative obstruction and the associated haemodynamic changes.
journal_name
Anaesthesiajournal_title
Anaesthesiaauthors
Reeder MK,Goldman MD,Loh L,Muir AD,Casey KR,Gitlin DAdoi
10.1111/j.1365-2044.1991.tb09599.xsubject
Has Abstractpub_date
1991-10-01 00:00:00pages
849-53issue
10eissn
0003-2409issn
1365-2044journal_volume
46pub_type
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