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Putting Positive Pressure on Ambulatory Surgery Criteria: Sleep Apnea and Short-Term Outcomes

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

doi: 10.1213/ANE.0000000000004312
Infographics: Infographic
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Vanderbilt University School of Medicine (jon.wanderer@vanderbilt.edu)

Northwestern University Feinberg School of Medicine (n-nathan@northwestern.edu)

Published ahead of print 23 May 2019.

The Infographic is composed by Jonathan P. Wanderer, MD, MPhil, Vanderbilt University School of Medicine (jon.wanderer@vanderbilt.edu), and Naveen Nathan, MD, Northwestern University Feinberg School of Medicine (n-nathan@northwestern.edu). Illustration by Naveen Nathan, MD.

The authors declare no conflicts of interest.

While patients with obstructive sleep apnea represent increased risk for perioperative respiratory events and worse clinical outcomes, there is not yet a consensus on the appropriate management of these patients in the ambulatory surgery setting. Recent work has demonstrated that it is feasible to carefully select patients for ambulatory surgery with obstructive sleep apnea and perform surgery safely in this environment. In this infographic, we review the additional observations resulting from this retrospective review and describe the clinical outcomes that were achieved in this particular practice setting.

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REFERENCES

1. Szeto B, Vertosick EA, Ruiz K, et al. Outcomes and safety among patients with obstructive sleep apnea undergoing cancer surgery procedures in a freestanding ambulatory surgical facility. Anesth Analg. 2019;129:360368.
    2. Urman RD, Chung F, Gan TJ. Obstructive sleep apnea and ambulatory surgery: who is truly at risk? Anesth Analg. 2019;129:327–329.
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