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:
(1) they are not good candidates for brachial plexus block because of the problem of phrenic nerve palsy and
(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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You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
