Use of a home positive airway pressure device during intraoperative monitored anesthesia care for outpatient surgery
Perioperative positive airway pressure (PAP) is recommended by the American Society of Anesthesiologists for patients with obstructive sleep apnea, but a readily available and personalized intraoperative delivery system does not exist. We present the successful use of a patient’s own nasal PAP machi...
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Veröffentlicht in: | Journal of anesthesia 2016-08, Vol.30 (4), p.707-710 |
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container_title | Journal of anesthesia |
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creator | Borg, Lindsay Walters, Tessa L. Siegel, Lawrence C. Dazols, John Mariano, Edward R. |
description | Perioperative positive airway pressure (PAP) is recommended by the American Society of Anesthesiologists for patients with obstructive sleep apnea, but a readily available and personalized intraoperative delivery system does not exist. We present the successful use of a patient’s own nasal PAP machine in the operating room during outpatient foot surgery which required addition of a straight adaptor for oxygen delivery and careful positioning of the gas sampling line to permit end-tidal carbox dioxide monitoring. Home PAP machines may provide a potential alternative to more invasive methods of airway management for patients with obstructive sleep apnea under moderate sedation. |
doi_str_mv | 10.1007/s00540-016-2188-z |
format | Article |
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We present the successful use of a patient’s own nasal PAP machine in the operating room during outpatient foot surgery which required addition of a straight adaptor for oxygen delivery and careful positioning of the gas sampling line to permit end-tidal carbox dioxide monitoring. Home PAP machines may provide a potential alternative to more invasive methods of airway management for patients with obstructive sleep apnea under moderate sedation.</description><identifier>ISSN: 0913-8668</identifier><identifier>EISSN: 1438-8359</identifier><identifier>DOI: 10.1007/s00540-016-2188-z</identifier><identifier>PMID: 27169990</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Ambulatory Surgical Procedures - methods ; Anesthesia ; Anesthesia - methods ; Anesthesiology ; Care and treatment ; Clinical Report ; Complications and side effects ; Conscious Sedation ; Critical Care Medicine ; Emergency Medicine ; Humans ; Intensive ; Male ; Medicine ; Medicine & Public Health ; Methods ; Middle Aged ; Monitoring, Physiologic ; Pain Medicine ; Patient monitoring equipment ; Sleep apnea ; Sleep Apnea, Obstructive - physiopathology</subject><ispartof>Journal of anesthesia, 2016-08, Vol.30 (4), p.707-710</ispartof><rights>Japanese Society of Anesthesiologists (outside the USA) 2016</rights><rights>COPYRIGHT 2016 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c425t-ca2d0d1ede68c72ea88aa812fe85755d65f837e0d98d8ae9136628668e6413c53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00540-016-2188-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00540-016-2188-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27169990$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Borg, Lindsay</creatorcontrib><creatorcontrib>Walters, Tessa L.</creatorcontrib><creatorcontrib>Siegel, Lawrence C.</creatorcontrib><creatorcontrib>Dazols, John</creatorcontrib><creatorcontrib>Mariano, Edward R.</creatorcontrib><title>Use of a home positive airway pressure device during intraoperative monitored anesthesia care for outpatient surgery</title><title>Journal of anesthesia</title><addtitle>J Anesth</addtitle><addtitle>J Anesth</addtitle><description>Perioperative positive airway pressure (PAP) is recommended by the American Society of Anesthesiologists for patients with obstructive sleep apnea, but a readily available and personalized intraoperative delivery system does not exist. We present the successful use of a patient’s own nasal PAP machine in the operating room during outpatient foot surgery which required addition of a straight adaptor for oxygen delivery and careful positioning of the gas sampling line to permit end-tidal carbox dioxide monitoring. Home PAP machines may provide a potential alternative to more invasive methods of airway management for patients with obstructive sleep apnea under moderate sedation.</description><subject>Ambulatory Surgical Procedures - methods</subject><subject>Anesthesia</subject><subject>Anesthesia - methods</subject><subject>Anesthesiology</subject><subject>Care and treatment</subject><subject>Clinical Report</subject><subject>Complications and side effects</subject><subject>Conscious Sedation</subject><subject>Critical Care Medicine</subject><subject>Emergency Medicine</subject><subject>Humans</subject><subject>Intensive</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Monitoring, Physiologic</subject><subject>Pain Medicine</subject><subject>Patient monitoring equipment</subject><subject>Sleep apnea</subject><subject>Sleep Apnea, Obstructive - physiopathology</subject><issn>0913-8668</issn><issn>1438-8359</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFqFTEUhoMo9lp9ADcScOMmNWdmksksS6mtUHBj1yEmZ25TZpIxmancPo3P4pOZYaogXCSLA-H7f85_fkLeAj8DztuPmXPRcMZBsgqUYo_PyA6aWjFVi-452fEOaqakVCfkVc73nHMJUL8kJ1ULsus6viPLbUYae2roXRyRTjH72T8gNT79MAc6Jcx5SUgdPnhbxpJ82FMf5mTihMms8K-fYwx-jgkdNQHzfIfZG2pN0fUx0bjMUwExzLR47TEdXpMXvRkyvnmap-T20-XXi2t28-Xq88X5DbNNJWZmTeW4A3QolW0rNEoZo6DqUYlWCCdFr-oWueuUUwZLWimrNS_KBmor6lPyYfOdUvy-lM306LPFYShrxiVrUFw2jYCmLej7Dd2bAbUPfSwR7Yrr86blAkDVqlDsCLXHUE4xxIC9L9__8GdH-PIcjt4eFcAmsCnmnLDXU_KjSQcNXK-l6610XUrXa-n6sWjePaVcvo3o_ir-tFyAagPytNaHSd_HJYVy-f-4_gaRILlb</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Borg, Lindsay</creator><creator>Walters, Tessa L.</creator><creator>Siegel, Lawrence C.</creator><creator>Dazols, John</creator><creator>Mariano, Edward R.</creator><general>Springer Japan</general><general>Springer</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160801</creationdate><title>Use of a home positive airway pressure device during intraoperative monitored anesthesia care for outpatient surgery</title><author>Borg, Lindsay ; Walters, Tessa L. ; Siegel, Lawrence C. ; Dazols, John ; Mariano, Edward R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-ca2d0d1ede68c72ea88aa812fe85755d65f837e0d98d8ae9136628668e6413c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Ambulatory Surgical Procedures - methods</topic><topic>Anesthesia</topic><topic>Anesthesia - methods</topic><topic>Anesthesiology</topic><topic>Care and treatment</topic><topic>Clinical Report</topic><topic>Complications and side effects</topic><topic>Conscious Sedation</topic><topic>Critical Care Medicine</topic><topic>Emergency Medicine</topic><topic>Humans</topic><topic>Intensive</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Monitoring, Physiologic</topic><topic>Pain Medicine</topic><topic>Patient monitoring equipment</topic><topic>Sleep apnea</topic><topic>Sleep Apnea, Obstructive - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Borg, Lindsay</creatorcontrib><creatorcontrib>Walters, Tessa L.</creatorcontrib><creatorcontrib>Siegel, Lawrence C.</creatorcontrib><creatorcontrib>Dazols, John</creatorcontrib><creatorcontrib>Mariano, Edward R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Borg, Lindsay</au><au>Walters, Tessa L.</au><au>Siegel, Lawrence C.</au><au>Dazols, John</au><au>Mariano, Edward R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of a home positive airway pressure device during intraoperative monitored anesthesia care for outpatient surgery</atitle><jtitle>Journal of anesthesia</jtitle><stitle>J Anesth</stitle><addtitle>J Anesth</addtitle><date>2016-08-01</date><risdate>2016</risdate><volume>30</volume><issue>4</issue><spage>707</spage><epage>710</epage><pages>707-710</pages><issn>0913-8668</issn><eissn>1438-8359</eissn><abstract>Perioperative positive airway pressure (PAP) is recommended by the American Society of Anesthesiologists for patients with obstructive sleep apnea, but a readily available and personalized intraoperative delivery system does not exist. We present the successful use of a patient’s own nasal PAP machine in the operating room during outpatient foot surgery which required addition of a straight adaptor for oxygen delivery and careful positioning of the gas sampling line to permit end-tidal carbox dioxide monitoring. Home PAP machines may provide a potential alternative to more invasive methods of airway management for patients with obstructive sleep apnea under moderate sedation.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>27169990</pmid><doi>10.1007/s00540-016-2188-z</doi><tpages>4</tpages></addata></record> |
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subjects | Ambulatory Surgical Procedures - methods Anesthesia Anesthesia - methods Anesthesiology Care and treatment Clinical Report Complications and side effects Conscious Sedation Critical Care Medicine Emergency Medicine Humans Intensive Male Medicine Medicine & Public Health Methods Middle Aged Monitoring, Physiologic Pain Medicine Patient monitoring equipment Sleep apnea Sleep Apnea, Obstructive - physiopathology |
title | Use of a home positive airway pressure device during intraoperative monitored anesthesia care for outpatient surgery |
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