Obstructive sleep apnoea (OSA) correlates positively with obesity and age, both of which are becoming increasingly prevalent. Obstructive sleep apnoea occurs much more frequently in clinical practice than formerly diagnosed, and that this condition represents complex challenges for difficulty in mask ventilation, laryngoscopic intubation, accelerated arterial desaturation, postoperative monitoring and discharge status. In this review article pathophysiology, diagnosis, and perioperative management of this group of patients have been discussed in detail.
Are patients with obstructive sleep apnoea syndrome suitable for ambulatory surgery? ASA Newsletter 2006;70:1-3.
Obstructive sleep apnoea. N Engl J Med 1996;334:99-104.
Prevalence of sleep-disordered breathing and sleep apnoea in middle-aged urban Indian men. Am J Respir Crit Care Med 2004;169:168-73.
Prevalence and risk factors of obstructive sleep apnoea syndrome in a population of Delhi, India. Chest 2006;130:149-56.
Sleep apnoea syndrome. N Engl J Med 2002;346:390.
The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993;328:1230-5.
The significance of sleep-disordered breathing and obstructive sleep apnoea in the elderly. Chest 1997;112:867-8.
Sleep apnoea-a major public health problem. N Engl J Med 1993;328:1271-3.
Centres for disease control 1998.
Increased prevalence of sleep-disordered breathing among professional football players. N Engl J Med 2003;348:367-8.
Sleep and sleep-disordered breathing in commercial long-haul truck drivers. Chest 1995;107:1275-82.
Three sudden postoperative respiratory arrest associated with epidural opioids in patients with sleep apnoea. Anesth Analg 1997;85:452-60.
Obstructive sleep apnoea in adult obese patient: Implications for airway management. J Clin Anesth 2001;13:144-56.
Mechanisms of obstructive sleep apnoea. Chest 1992;101:541-9.
Pathophysiology of upper airway closure during sleep. JAMA 1991;266:1384-9.
Risk factors for oxygen desaturation during sleep after abdominal surgery. Br J Anaesth 1992;69:137-42.
In: Anaesthesia and co-existing disease. In: Stoelting RK, Dierdorf SF, editors. 4th ed; Philadelphia, Pennysylvania: Churchill Livingstone; 2004. p. 444-6.
Sleep disordered breathing in patients with cluster headache. Neurology 2000;54:2302-6.
Recognition of obstructive sleep apnoea. Am J Respir Crit Care Med 1996;154:279-89.
Recognition and consequences of obstructive sleep apnoea hyopopnea syndrome. Clin Chest Med 1998;19:1-19.
Preoperative differences between male and female patients with sleep apnoea. Laryngoscope 2001;111:1501-5.
Sleepiness, fatigue, tiredness, and lack of energy in obstructive sleep apnoea. Chest 2000;118:372-9.
Gender differences in sleep disordered breathing in a community-based sample. Am J. Respir Crit Care Med 1994;149:722-6.
Likelihood ratios for a sleep apnoea clinical prediction rule. Am J Respir Crit Care Med 1994;150:1279-85.
Obstructive sleep apnoea in the adult obese patient: Implications for airway management. Anesthesiol Clin N Am 2002;20:789-811.
Obstructive sleep apnoea syndrome in children. Anesthesiol Clin N Am 2005;23:535-49.
CT in the evaluation of the upper airway in healthy subjects and in patients with obstructive sleep apnoea syndrome. Chest 1998;113:111-6.
Cost-effectiveness analysis of nocturnal oximetry as a method of screening for sleep apnoea-hypopnea syndrome. Chest 1998;113:97-103.
Accuracy of oximetry for detection of respiratory disturbances in sleep apnoea syndrome. Chest 1996;109:395-9.
Sleep-related breathing disorders in adults: Recommendations for syndrome definition and measurement techniques in clinical research. Sleep 1999;22:667-89.
Sleep apnoea and hypertension: Pathophysiologic mechanisms. Semin Nephrol 2002;22:71-7.
Association of hypertension and sleep-disordered breathing. Arch Intern Med 2000;160:2289-95.
Apnoea and periodic breathing during sleep. N Engl J Med 1999;341:985-7.
Prevalence of sleep-disordered breathing in diastolic heart failure. Chest 1997;111:1488-93.
Sleep-related breathing disorders are associated with ventricular arrhythmias in patients with an implantable cardioverter-difibrillator. Chest 2002;122:558-61.
Oswald M, Apprill M, Krieger J. Pulmonary hypertension in the obstructive sleep apnoea syndrome: Prevalence, causes and therapeutic consequences. Eur Respir J 1996;9:787-94.
Respiratory symptoms and noctural gastroesophagel reflux: A population-based study of young adults in three European countries. Chest 2002;121:158-63.
Impaired swallowing reflex in patients with obstructive sleep apnoea syndrome. Chest 1999;116:17-21.
The new American Association of Anaesthesiologists Obstructive Sleep Apnoea Guideline. In: Hagberg CA, editor. Benumof′s airway management principles and practice. 2nd ed; Mosby (Elsevier); 2007. p. 984-96.
A report by the American society of anaesthesiologists′ task force on the perioperative management of patients with obstructive sleep apnoea. Anesthesiology 2006;104:1081-93.
Relation between difficult tracheal intubation and obstructive sleep apnoea. Br J Anaesth 1998;80:606-11.
Anaesthetic management of patients with sleep apnoea syndrome. Can J Anesth 1996;43:599-616.