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.


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*