«This study, for the first time, shows that the use of regional anesthesia improves outcomes
in patients with sleep apnea undergoing total joint arthroplasty.
The Hospital for Special Surgery study is the first to provide evidence that an intervention during surgery can improve outcomes in
patients with sleep apnea who often fare worse than patients without this condition.
«Our results also demonstrated an exposure - response relation in that patients with more severe sleep apnea may have a higher risk of pneumonia than
patients with sleep apnea of milder severity.»
«There is no perfect treatment option for obstructive sleep apnea, but our preliminary data suggest that hypoglossal nerve stimulation can effectively
treat patients with sleep apnea who are unable to tolerate CPAP.»
Researchers found the incidence of osteoporosis was 2.7 times higher
among patients with sleep apnea than their counterparts, after adjusting for age, gender, other medical problems, geographic location and monthly income.
To investigate whether neuraxial anesthesia actually reduced complications, researchers at Hospital for Special Surgery conducted a retrospective review of all hip and knee replacements performed in
patients with sleep apnea between 2006 and 2010 in the United States using Premier Perspective.
Researchers at the Perelman School of Medicine at the University of Pennsylvania will present data (abstract 0378) on their outcomes with hypoglossal nerve stimulation for the treatment of
patients with sleep apnea at SLEEP 2016, the 30th annual meeting of the Associated Professional Sleep Societies LLC.
Using regional anesthesia instead of general anesthesia in
patients with sleep apnea undergoing total joint replacement decreases major complications by 17 %, according to a study published online, ahead of print, in the journal Regional Anesthesia and Pain Medicine.
«Considering that sleep apnea can lead to high blood pressure, heart attack, stroke, and other serious health problems, it is critically important that we study devices that may serve as another option instead of CPAP to
treat patients with sleep apnea,» said lead author Richard Schwab, MD, co-medical director of the Penn Sleep Center.
In 2006, the ASA released guidelines recommending the use of regional anesthesia, when possible,
in patients with sleep apnea undergoing surgery to reduce the use of systemic opioids.
The researchers identified 30,024
patients with sleep apnea undergoing these procedures whose medical records included information on the type of anesthesia used during the surgery.
Many years ago clinicians began noticing that
patients with sleep apnea were at an increased risk of developing complications after operations.
The researchers say the results may apply to
patients with sleep apnea undergoing surgeries such as prostatectomies and hysterectomies, and this is an area currently being investigated.
Chronic inflammatory diseases and pain syndromes are much more difficult in
patients with sleep apnea and other sleep problems.
He also pointed out that the study «says that
patients with sleep apnea have smaller heart attacks than those without sleep apnea.
Rozerem has not been studied in
patients with sleep apnea or related breathing disorders.
Patients with sleep apnea will stop breathing for brief periods as they sleep, often leading them to choke or cough as they catch their breath.