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Sleep Apnea Syndromes: HELP
Articles by R. Rossaint
Based on 2 articles published since 2008
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Between 2008 and 2019, R. Rossaint wrote the following 2 articles about Sleep Apnea Syndromes.
 
+ Citations + Abstracts
1 Guideline [Perioperative management of patients with obstructive sleep apnea : update on the practice guidelines of the American Society of Anesthesiologists Task Force]. 2014

Fahlenkamp, A / Rossaint, R / Coburn, M / Anonymous350795. ·Klinik für Anästhesiologie, Universitätsklinik der RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland, anaesthesiologie@ukaachen.de. ·Anaesthesist · Pubmed #24851836.

ABSTRACT: Obstructive sleep apnea (OSA) is a widespread disease which is associated with many cardiovascular diseases and can have health-related consequences for affected patients if untreated. It is known that perioperative airway complications occur more often in OSA patients during general anesthesia. Some years ago the Task Force of the American Society of Anesthesiologists (ASA) published practice guidelines on the perioperative approach to OSA patients. These guidelines have now been revised and updated. This article gives a summary of the recommended approach for the perioperative treatment of patients with OSA given in the 2014 guidelines.

2 Review [Perioperative management of patients with obstructive sleep apnoea]. 2009

Schnoor, J / Ilgner, J / Hein, M / Westhofen, M / Rossaint, R. ·Abteilung für Anästhesiologie und Intensivmedizin, Krankenhaus Maria Hilf GmbH, Maria-Hilf-Strasse 2, 54550 Daun, Deutschland. joerg.schnoor@gmx.de ·Anaesthesist · Pubmed #19219412.

ABSTRACT: There is lack of studies investigating procedures aiming at a decrease in perioperative mortality in patients with obstructive sleep apnoea (OSA). During anesthetic evaluation, identification of patients with OSA as well as using a risk score has been recommended by the American Society of Anesthesiology in order to identify the best perioperative strategy. Perioperative attention should be focused on a secure airway and the duration of monitoring that is necessary regarding severity of OSA, surgical stress and respiratory function. Postoperatively, residual neuromuscular blockade and a supine position have to be avoided. Continuous pulse oximetry should be used as long as patients remain at increased risk and should be applied until oxygen saturation remains above 90% with room air during sleep. Opioids should be excluded for pain management whenever possible, and CPAP or NIPPV should be administered as soon as feasible after surgery to patients who have been receiving it preoperatively.