A STUDY ABOUT THE UTILITY OF NONINVASIVE POSITIVE PRESSURE VENTILATION AFTER SLEEP APNEA SURGERY

• Published in: JIBI INKOKA TEMBO Vol. 54; no. 6; pp. 414 - 419
• Main Authors: Takamiya, Yuko, Iimura, Jiro, Arai, Chiaki, Chiba, Shintaro, Shimura, Eiji, Ota, Fumikazu, Sawada, Kouki
• Format: Journal Article
• Language: Japanese
• Published: Society of Oto-rhino-laryngology Tokyo 2011; 耳鼻咽喉科展望会
• Subjects: noninvasive positive pressure ventilation; obstructive sleep apnea syndrome; perioperative care; sleep apnea surgery; 周術期管理; 閉塞性睡眠時無呼吸症候群 (OSAS); 非侵襲的陽圧呼吸療法 (NPPV)
• ISSN: 0386-9687; 1883-6429
• DOI: 10.11453/orltokyo.54.414

There have been many reports on the perioperative care and complications related to OSA, however, few studies have investigated these in relation to sleep apnea surgeries. We considered the usefulness of noninvasive positive pressure ventilation after sleep apnea surgery. The subjects were 12 patients (sex ratio men: women=11: 1, average age 46.2) in whom sleep apnea surgery was performed under general anesthesia at our hospital. We measured the nighttime ODI3 (Oxygen Desaturation Index 3%) on the day of the operation (using BiPAP), and one day before and after the operation (without BiPAP), using a pulse oximeter and compared the changes. In all cases, the ODI3 was significantly lower on the day of the operation when BiPAP was used, and significantly higher on the day after removal of the BiPAP mask. Also, the cardiopulmonary status remained extremely stable on the operation day. In all 12 cases, no complications were recognized after the surgery. Among the many perioperative care problems associated with sleep apnea surgeries, we recognized a significant difference in oxygenation in the postoperative patients. Under this particular circumstance of ‘sleep apnea surgery’, more studies related to safer perioperative care and establishment of standards will be needed in the future.