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Evidence-Based Patient Safety Advisory: Patient Assessment and Prevention of Pulmonary Side Effects in Surgery. Part 1—Obstructive 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 and Reconstructive Surgery: October 2009 - Volume 124 - Issue 4S - p 45S-56S
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.

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