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Anaesthetic implication of obstructive sleep apnoea [Die anästhesiologische Bedeutung der obstruktiven Schlafapnoe]

Author

Listed:
  • Dworschak, M.
  • Maurer, J.T.
  • Waschke, K.F.

Abstract

Obstructive sleep apnoea (OSA) is a relatively common disease and is characterized by defective airway control during sleep. As its symptoms may be accentuated by anaesthesia, providing anaesthesia for OSA-patients poses quite a challenge to the anaesthesiologist. Airway management after induction of anaesthesia and after extubation can be difficult due to complete airway obstruction. A reduced drive to breathe can further complicate the situation in the recovery room. Furthermore, hypoxic and hypercarbic stress during, apnoea can result in cardiac arrhythmias, myocardial and brain ischemia or even frank cardiac failure. Thus, each patient with a history of snoring or OSA requires special attention. The anaesthesiologist must be prepared for OSA-inherent complications in order to be able to respond adequately. Perioperative management should be aimed at preventing asphyxie episodes and alleviating the harmful consequences of apnoea in order to prevent, exposing the patient to an additional risk.

Suggested Citation

  • Dworschak, M. & Maurer, J.T. & Waschke, K.F., 1996. "Anaesthetic implication of obstructive sleep apnoea [Die anästhesiologische Bedeutung der obstruktiven Schlafapnoe]," American Journal of Public Health, American Public Health Association, vol. 86(11), pages 9-15.
    • Handle: RePEc:aph:ajpbhl:1996:86:11:9-15_2
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