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Poor Sleep, Worse Outcomes: Obstructive Sleep Apnea and Perioperative Care

Wanderer, Jonathan P. MD, MPhil; Nathan, Naveen MD

doi: 10.1213/ANE.0000000000003745
Infographics: Infographic

Vanderbilt University School of Medicine (

Northwestern University Feinberg School of Medicine (

The Infographic is composed by Jonathan P. Wanderer, MD, MPhil, Vanderbilt University School of Medicine (, and Naveen Nathan, MD, Northwestern University Feinberg School of Medicine ( Illustration by Naveen Nathan, MD.

The authors declare no conflicts of interest.

While the health care community has become increasingly aware of the dangers of opioid use and abuse, the increasing prevalence of obstructive sleep apnea has been continuing to cause harm to patients, and its risks for perioperative care are potentiated by the use of narcotics. The details of these interactions are not completely understood due to a lack of high-quality trials in this area. In this infographic, we examine the results of a systematic review of largely observational studies that characterize the relationship among obstructive sleep apnea, sleep-disordered breathing, postoperative anesthesia care, and opioids.

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