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Evidence-Based Patient Safety Advisory: Patient Assessment and Prevention of Pulmonary Side Effects in Surgery. Part 1Obstructive Sleep Apnea and Obstructive Lung Disease

Haeck, Phillip C. M.D.; Swanson, Jennifer A. B.S., M.Ed.; Iverson, Ronald E. M.D.; Lynch, Dennis J. M.D.; the ASPS Patient Safety Committee

Plastic & Reconstructive Surgery:
doi: 10.1097/PRS.0b013e3181b5338d
Patient Safety: Outcomes Article

Summary: Obstructive sleep apnea and obstructive lung disease may increase a patient’s risk of perioperative pulmonary complications. This practice advisory provides an overview of the preoperative steps that should be performed to ensure appropriate patient selection and the safety of patients with these conditions. Also discussed are recommendations for perioperative management and strategies for minimizing complications.

Author Information

Arlington Heights, Ill.

From the American Society of Plastic Surgeons’ Patient Safety Committee.

Received for publication March 3, 2009; accepted May 27, 2009.

Approved by the ASPS Executive Committee, October 25, 2007.

The members of the ASPS Patient Safety Committee are listed at the end of this article.

Disclosure: The authors have no financial interests related to this article.

Phillip C. Haeck, M.D., 901 Boren Avenue, Suite 1650, Seattle, Wash. 98104-3508,

©2009American Society of Plastic Surgeons