RESEARCH ARTICLE


Perioperative Implementation of Continuous Positive Airway Pressure: A Review of the Considerations



Suzanne Karan*, Shira Black, Falan Mouton
Department of Anesthesiology, University of Rochester, Rochester, NY, USA


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Creative Commons License
© 2011 Karan et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Anesthesiology, University of Rochester, Rochester, NY; Tel: 585-275-1384; Fax: 585-276-0122; E-mail: Suzanne_Karan@URMC.Rochester.edu


Abstract

OSA patients present unique challenges in the peri-operative period. They routinely require more monitoring, oxygen therapy, unplanned ICU admissions, longer hospital stays, and have more adverse events than healthy counterparts. Some data suggest that perioperative CPAP use is associated with reduced morbidity and mortality of patients with OSA, and yet its application remains inconsistent. This review aims to summarize existing literature on the peri-operative use of CPAP, identify barriers to its implementation, and begin defining an algorithm for the practical application of peri-operative CPAP.

Keywords: CPAP, obstructive sleep apnea, perioperative.