A Rude Awakening - The Perioperative Sleep Apnea Epidemic
Department of Anesthesiology, Hospital for Special Surgery, Weill Medical College of Cornell University, New York, USA.New England Journal of Medicine (Impact Factor: 55.87). 06/2013; 368(25):2352-3. DOI: 10.1056/NEJMp1302941
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ABSTRACT: Hospitals routinely admit most patients with obstructive sleep apnea (OSA) who undergo surgery for OSA to a high intensity care unit for overnight monitoring after surgery. This practice, mostly based on historical evidence, is designed to monitor respiratory outcomes after surgery in the event of adverse events taking place. However, this also creates inconvenience for patients, is very expensive to the health care system, and uses significant hospital resources. The goal of this systematic review of the literature was to assess what the current evidence is to support this practice and to begin to answer the question of which patients are benefitting from this approach.
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