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
Hauptverfasser: Borg, Lindsay, Walters, Tessa L., Siegel, Lawrence C., Dazols, John, Mariano, Edward R.
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container_end_page 710
container_issue 4
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container_title Journal of anesthesia
container_volume 30
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
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source MEDLINE; SpringerLink Journals - AutoHoldings
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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