Obstructive sleep apnea syndrome in the perioperative period: pitfalls or underestimated opportunities
The article deals with the perioperative management of patients with the obstructive sleep apnea syndrome (OSAS) based on the literature, international guidelines, own practice. Preoperative and intraoperative period have been examined carefully with an emphasis on intubation and extubation procedures. In the postoperative period, special attention was paid to analgosedation, oxygen therapy and monitoring of this category of patients. A review of Canadian anesthesiologists about complications and deaths in patients with OSAS has been reviewed in detail. A clinical case of a female patient with a newly diagnosed obstructive sleep apnea syndrome in the perioperative period is described. The STOP-Bang questionnaire is presented, which allows revealing OSAS with high sensitivity and specificity in patients at the prehospital stage. In conclusion, a protocol has been developed to ensure the safest management of patients with OSAS in the perioperative period in the Into-Sana clinic.