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SPECIAL ARTICLE
Year : 2008  |  Volume : 52  |  Issue : 2  |  Page : 140-147

Perioperative Management of Patients with Obstructive Sleep Apnoea - A Review


1 Professor, Department of Anaesthesiology, Aga Khan University, Karachi, Pakistan
2 Senior Instructor, Department of Anaesthesiology, Aga Khan University, Karachi, Pakistan

Correspondence Address:
Fauzia A Khan
Department of Anaesthesiology, Aga Khan University,Stadium Road, PO Box 3500, Karachi 74800
Pakistan
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Source of Support: None, Conflict of Interest: None


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Obstructive sleep apnoea (OSA) is a sleep disorder of particular concern to anaesthetist. Its exact prevalence is not known but it is said to affect 5% of the population in the west. It is a syndrome characterized by periodic, partial, or complete obstruction of the upper airway during sleep. The diagnostic gold standard is polysomnography. The anaesthetic implications include the presence of comorbidities like cardiovascular, respiratory and cerebrovascular sequelae. Obesity is a commonly associated condition. Effects of sedatives, hypnotics and other anaesthetic drugs are of major concern and there are potential complications associated with the postoperative period. The purpose of this review is to update the readers on the recent literature available on the topic. The American Society of Anesthesiologists has recently suggested guidelines on the perioperative management of these patients.


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