Postoperative obstructive sleep apnoea. Haemodynamic effects of treatment with nasal CPAP.

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

Anaesthesia

journal_title

Anaesthesia

authors

Reeder MK,Goldman MD,Loh L,Muir AD,Casey KR,Gitlin DA

doi

10.1111/j.1365-2044.1991.tb09599.x

subject

Has Abstract

pub_date

1991-10-01 00:00:00

pages

849-53

issue

10

eissn

0003-2409

issn

1365-2044

journal_volume

46

pub_type

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