ENTtoday
  • Home
  • COVID-19
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

Is Overnight Monitoring Required for Adult Patients Undergoing Surgery for Obstructive Sleep Apnea?

by Brian Rotenberg, MD, MPH, Jenna Theriault, MD, and Kenny Pang • March 1, 2013

  • Tweet
  • Email
Print-Friendly Version

Trio Best PracticeBackground

Multilevel surgery for obstructive sleep apnea (OSA) carries a theoretical risk of postoperative respiratory complications. In the recent past, OSA surgery was carried out with planned postoperative intensive care monitoring; however, there is a contemporary trend toward less acute postoperative care environments, or even to outpatient surgery, for many of these patients. This trend, however, was confounded by the 2006 OSA perioperative management guidelines published by the American Society of Anesthesiology suggesting that the incidence of respiratory complications after OSA surgery was relatively high (>10 percent), and that all patients undergoing surgery for OSA should have continuous overnight oxygen saturation monitoring after surgery. It remains controversial what level of monitoring after OSA surgery is the most appropriate, both in terms of patient management and sound resource allocation.

You Might Also Like

  • Is Nasal Surgery Effective Treatment for Obstructive Sleep Apnea?
  • Should Patients with Obstructive Sleep Apnea Be Screened for Depression?
  • Patient Outcomes Can Measure Success of Obstructive Sleep Apnea Surgery
  • Patients with Cerebrospinal Fluid Rhinorrhea More Likely to have Obstructive Sleep Apnea
Explore This Issue
March 2013

Best Practice

The rate of adverse respiratory events after surgery for OSA is low, and the literature does not support the contention that all patients undergoing OSA surgery require overnight oximetry monitoring. Certain patient groups (such as those with higher preoperative apneic indices and/or cardiovascular comorbidities, and those undergoing tongue base surgery) may be at higher risk for respiratory complications, and should be considered for overnight oximetry monitoring. Most respiratory complications seem to occur within four hours after surgery; therefore, after being monitored for several hours after OSA surgery without respiratory events, and meeting other discharge criteria as appropriate, lower risk patients are suggested as being safe for same-day discharge home at the surgeon’s discretion. Higher-level evidence (1 and 2) would be preferred to support a recommendation to change current practice. However, although it is difficult to obtain such evidence because of randomization concerns, the available evidence, although not randomized, is strongly consistent. Multicenter cohort or randomized trials are needed to better define risk factors for respiratory adverse events after OSA surgery. Read the full article in The Laryngoscope.

Filed Under: Practice Focus, Sleep Medicine, Sleep Medicine, TRIO Best Practices Tagged With: Obstructive sleep apnea, OSAIssue: March 2013

You Might Also Like:

  • Is Nasal Surgery Effective Treatment for Obstructive Sleep Apnea?
  • Should Patients with Obstructive Sleep Apnea Be Screened for Depression?
  • Patient Outcomes Can Measure Success of Obstructive Sleep Apnea Surgery
  • Patients with Cerebrospinal Fluid Rhinorrhea More Likely to have Obstructive Sleep Apnea

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Non-Acidic Reflux Explains Lack of Response to H2 Blockers and PPIs
    • Vertigo in the Elderly: What Does It Mean?
    • Is the Training and Cost of a Fellowship Worth It? Here’s What Otolaryngologists Say
    • Vertigo in the Elderly: What Does It Mean?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Why Virtual Grand Rounds May Be Here to Stay
    • Otolaryngologist Leverages His Love of Pinball into Second Business
    • These New Imaging Advances May Help to Protect Parathyroids
    • Is the Training and Cost of a Fellowship Worth It? Here’s What Otolaryngologists Say
    • Which Otologic Procedures Poses the Greatest Risk of Aerosol Generation?

Polls

Have you used 3D-printed materials in your otolaryngology practice?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2021 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.