Navigation Links
ICU May Not Be Needed After Sleep Apnea Surgery
Date:3/19/2012

MONDAY, March 19 (HealthDay News) -- After undergoing surgery for obstructive sleep apnea, patients require close monitoring but may not need to be in an intensive care unit, according to a new study.

Obstructive sleep apnea is a disorder in which a person experiences abnormal pauses in breathing while they sleep. Sleep apnea can put people at risk of high blood pressure, stroke and heart problems.

Treatments include losing weight and continuous positive airway pressure (CPAP) devices, although some people may need surgery.

The surgery itself carries risks, however, the experts note. These include post-operative breathing difficulties, so patients are often placed in ICUs afterward.

But is that always necessary? To find out, researchers at the Pacific Sleep Centre in Singapore reviewed the cases of nearly 500 sleep apnea patients who had surgery between early 2007 and mid-2010. The surgeries included nasal, palate and tongue procedures.

The overall complication rate was 7 percent, according to the study, which appears online March 19 in the Archives of Otolaryngology -- Head & Neck Surgery.

Patients who undergo surgery for sleep apnea will end up with small lower jaws, making airway access difficult for anesthesiologists, the researchers noted. Another risk is dangerously slowed breathing due to anesthetics such as muscle relaxants and narcotics.

While routine admission to the ICU may not be necessary for all patients who've just had sleep apnea surgery, all patients should be closely monitored in the recovery or high-dependency area (one step below intensive care) for at least 3 hours after surgery, the researchers suggested.

"In conclusion, we strongly recommended that the clinician manage the patient with OSA [obstructive sleep apnea] with caution and prudence, with the understanding that these patients have a higher risk of airway compromise and respiratory depression intraoperatively and postoperatively," they wrote.

Dr. Lisa Liberatore, an ear, nose and throat specialist at Lenox Hill Hospital in New York City, said sleep apnea patients often have other medical issues that may raise surgical risks.

Because of the risks, surgeons should proceed with caution and patients should first try other, non-surgical treatments, she said.

"I recommend that the patient use CPAP first and lose at least 20 to 30 pounds before doing any surgery," Liberatore said.

More information

The U.S. National Heart, Lung, and Blood Institute has more about sleep apnea treatment.

-- Robert Preidt

SOURCE: Lisa Liberatore, MD, ear, nose and throat specialist, Lenox Hill Hospital, New York City; JAMA/Archives journals, news release, March 19, 2012


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Panel of serum biomarkers may reduce number of lung biopsies needed
2. More effective treatments urgently needed for adolescent depression
3. Second Breast Cancer Surgery Sometimes Needed
4. Strategic research plan needed to help avoid potential risks of nanomaterials
5. Less blood needed post-surgery, says NEJM study
6. Study Finds Fewer Blood Transfusions Needed After Hip Surgeries
7. New report identifies research needed on modified risk tobacco products
8. Study favors as-needed treatment over maintenance therapy for patients with follicular lymphoma
9. Yawning May Cool the Brain When Needed
10. Evidence points to potential roles for cognitive rehabilitation therapy in treating traumatic brain injury, but further research needed
11. Greater support is needed to tackle the serious emotional consequences of whistleblowing
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... ... On The Brink”: the Christian history of the United States and the loss of ... William Nowers. Captain Nowers and his wife, Millie, have six children, ten grandchildren, ... Navy. Following his career as a naval aviator and carrier pilot, he spent ...
(Date:10/12/2017)... ... 2017 , ... The company has developed a suite of ... authorities worldwide. From Children’s to Adults 50+, every formula has been developed by ... , These products are also: Gluten Free, Non-GMO, Vegan, Soy Free, Non-Dairy*, Preservative ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... ... drug delivery system that we intend to develop to enable prevention of a ... lead to severe hearing loss, especially in pediatric patients. For cisplatin, hearing loss ...
(Date:10/12/2017)... ... October 12, 2017 , ... On Saturday, October 21, the Health & Wellness ... Moonlight to raise money for the American Heart Association Heart Walk. Teams of up ... work together to keep their treadmills moving for 5 hours. Treadmills will start at ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... in wound care advancements to physician colleagues, skilled nursing facility medical directors and ... the Treacherous Waters of Wound Care." , "At many of these conferences we ...
Breaking Medicine News(10 mins):
(Date:10/12/2017)... -- AVACEN Medical , Inc. (AVACEN) announced that Frost ... Product Innovation Award for Its fibromyalgia pain management device. ... device market research by Frost & Sullivan,s industry experts. ... relief product, the AVACEN 100, offers a safe and effective ... ...
(Date:10/11/2017)... Texas , Oct. 11, 2017  Caris Life ... focused on fulfilling the promise of precision medicine, today ... has joined Caris, Precision Oncology Alliance™ (POA) as its ... cancer centers, the St. Jude Crosson Cancer Institute will ... advance the use of tumor profiling, making cancer treatment ...
(Date:10/10/2017)... EXTON, Pa. , Oct. 10, 2017   ... leader in innovative solutions for injectable drug administration, today ... of West,s ID Adapter for improving the intradermal administration ... the Fourth Skin Vaccination Summit in May 2017 by ... Team Lead, Polio Department, World Health Organization (WHO), and ...
Breaking Medicine Technology: