Friday, September 20, 2013

Obstructive sleep apnea and shoulder arthroplasty

Obstructive sleep apnea as a risk factor after shoulder arthroplasty

These authors analyzed 22988 patients undergoing TSA or hemiarthroplasty from the Nationwide Inpatient Sample. They found that 1983 (5.9%) were diagnosed with obstructive sleep apnea (OSA). They found that patients with obstructive sleep apnea had similar in-hospital mortality and complications  compared with those without OSA and was not associated with increased charges or lengths of stay.

However, we observe that certain individuals with obstructive sleep apnea can present real challenges: 
(2) they are at increased risk for respiratory suppression when post operative narcotics are administered. Thus for a period they can be either painful or apneic and require increased surveillance during recovery.

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