Preoperative Evaluation: Estimation of Pulmonary Risk Including Obstructive Sleep Apnea Impact

Yamini Subramani; Mahesh Nagappa; Jean Wong; Talha Mubashir; Frances Chung

doi:10.1016/j.anclin.2018.07.004

Preoperative Evaluation: Estimation of Pulmonary Risk Including Obstructive Sleep Apnea Impact

Anesthesiol Clin. 2018 Dec;36(4):523-538. doi: 10.1016/j.anclin.2018.07.004. Epub 2018 Oct 12.

Authors

Yamini Subramani¹, Mahesh Nagappa², Jean Wong³, Talha Mubashir³, Frances Chung⁴

Affiliations

¹ Department of Anesthesia and Perioperative Medicine, London Health Science Centre, St. Joseph Health Care, Western University, Centre, Victoria Hospital, 800 Commissioners Road East, London, Ontario N6A 5W9, Canada.
² Department of Anesthesia and Perioperative Medicine, London Health Science Centre, St. Joseph Health Care, Western University, University Hospital, 339 Windermere Road, London, Ontario N6A 5A5, Canada.
³ Department of Anesthesiology, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst street, Toronto, Ontario M5T2S8, Canada.
⁴ Department of Anesthesiology, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst street, Toronto, Ontario M5T2S8, Canada. Electronic address: frances.chung@uhn.ca.

PMID: 30390776
DOI: 10.1016/j.anclin.2018.07.004

Abstract

One in 4 deaths occurring within a week of surgery are related to pulmonary complications, making it the second most common serious morbidity after cardiovascular events. The most significant predictors of the postoperative pulmonary complications (PPCs) are American Society of Anesthesiologists physical status, advanced age, dependent functional status, surgical site, and duration of surgery. The overall risk of PPCs can be predicted using scores that incorporate readily available clinical data.

Keywords: Anesthesia; Obstructive sleep apnea; Preoperative evaluation; Pulmonary complications; Pulmonary risk; Risk factors; Surgery.

Publication types

Review

MeSH terms

Humans
Postoperative Complications / prevention & control*
Preoperative Care / methods*
Respiration Disorders / prevention & control*
Risk Factors
Sleep Apnea, Obstructive / diagnosis*