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Does Difficult Mask Ventilation Predict Obstructive Sleep Apnea? A Prospective Pilot Study to Identify the Prevalence of OSA in Patients with Difficult Mask Ventilation Under General Anesthesia

Identifieur interne : 002415 ( Pmc/Corpus ); précédent : 002414; suivant : 002416

Does Difficult Mask Ventilation Predict Obstructive Sleep Apnea? A Prospective Pilot Study to Identify the Prevalence of OSA in Patients with Difficult Mask Ventilation Under General Anesthesia

Auteurs : Anthony R. Plunkett ; Brian C. Mclean ; Daren Brooks ; Mary T. Plunkett ; Jeffrey A. Mikita

Source :

Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine [ 1550-9389 ] ; 2011.

RBID : PMC:3190846

Abstract

Background:

Given the pathogenesis of obstructive sleep apnea (OSA), anesthesiologists may be in a unique position to rapidly identify patients who are at risk for undiagnosed OSA in the perioperative period. Identification is the first step in prompt diagnosis and potential prevention of OSA related comorbidities. Patients who exhibit unanticipated difficult mask ventilation (DMV) during induction of general anesthesia may be at risk of having undiagnosed OSA.

Objective:

To determine the association of OSA in patients with difficult mask ventilation under general anesthesia.

Methods:

Ten patients were identified over a 2-year period at the time of anesthetic induction as being difficult to mask ventilate and were then enrolled in this prospective pilot study. After enrollment and informed consent, the patients were referred to the sleep study center for full overnight polysomnography to evaluate for the presence and severity of OSA.

Results:

Of our cohort, 9/10 patients exhibited polysomnographic evidence of OSA, while the last subject tested positive for sleep disordered breathing. Eighty percent (8/10) of subjects espoused snoring, but only 10% (1/10) reported witnessed apneas. Average DMV was 2.5, and higher grades of DMV were associated with more severe OSA.

Conclusion:

In this study, difficult mask ventilation was predictive of undiagnosed OSA. Anesthesiologists may be in a unique position to identify patients at risk for OSA and prevention of related comorbidities.

Citation:

Plunkett AR; Mclean BC; Brooks D; Plunkett M; Mikita JA. Does difficult mask ventilation predict obstructive sleep apnea? A prospective pilot study to identify the prevalence of osa in patients with difficult mask ventilation under general anesthesia. J Clin Sleep Med 2011;7(5):473-477.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3190846

DOI: 10.5664/JCSM.1310
PubMed: 22003342
PubMed Central: 3190846

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PMC:3190846

Le document en format XML

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<author><name sortKey="Plunkett, Anthony R" sort="Plunkett, Anthony R" uniqKey="Plunkett A" first="Anthony R." last="Plunkett">Anthony R. Plunkett</name>
<affiliation><nlm:aff id="aff1">Department of Anesthesia and Operative Services, Walter Reed Army Medical Center, Washington, DC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mclean, Brian C" sort="Mclean, Brian C" uniqKey="Mclean B" first="Brian C." last="Mclean">Brian C. Mclean</name>
<affiliation><nlm:aff id="aff2">Department of Anesthesia and Operative Services, Tripler Army Medical Center, Honolulu, HI</nlm:aff>
</affiliation>
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<author><name sortKey="Brooks, Daren" sort="Brooks, Daren" uniqKey="Brooks D" first="Daren" last="Brooks">Daren Brooks</name>
<affiliation><nlm:aff id="aff1">Department of Anesthesia and Operative Services, Walter Reed Army Medical Center, Washington, DC</nlm:aff>
</affiliation>
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<author><name sortKey="Plunkett, Mary T" sort="Plunkett, Mary T" uniqKey="Plunkett M" first="Mary T." last="Plunkett">Mary T. Plunkett</name>
<affiliation><nlm:aff id="aff3">Department of Endocrinology, George Washington University Hospital, Washington, DC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mikita, Jeffrey A" sort="Mikita, Jeffrey A" uniqKey="Mikita J" first="Jeffrey A." last="Mikita">Jeffrey A. Mikita</name>
<affiliation><nlm:aff id="aff4">Department of Sleep Medicine, Walter Reed Army Medical Center, Washington, DC</nlm:aff>
</affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Does Difficult Mask Ventilation Predict Obstructive Sleep Apnea? A Prospective Pilot Study to Identify the Prevalence of OSA in Patients with Difficult Mask Ventilation Under General Anesthesia</title>
<author><name sortKey="Plunkett, Anthony R" sort="Plunkett, Anthony R" uniqKey="Plunkett A" first="Anthony R." last="Plunkett">Anthony R. Plunkett</name>
<affiliation><nlm:aff id="aff1">Department of Anesthesia and Operative Services, Walter Reed Army Medical Center, Washington, DC</nlm:aff>
</affiliation>
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<author><name sortKey="Mclean, Brian C" sort="Mclean, Brian C" uniqKey="Mclean B" first="Brian C." last="Mclean">Brian C. Mclean</name>
<affiliation><nlm:aff id="aff2">Department of Anesthesia and Operative Services, Tripler Army Medical Center, Honolulu, HI</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Brooks, Daren" sort="Brooks, Daren" uniqKey="Brooks D" first="Daren" last="Brooks">Daren Brooks</name>
<affiliation><nlm:aff id="aff1">Department of Anesthesia and Operative Services, Walter Reed Army Medical Center, Washington, DC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Plunkett, Mary T" sort="Plunkett, Mary T" uniqKey="Plunkett M" first="Mary T." last="Plunkett">Mary T. Plunkett</name>
<affiliation><nlm:aff id="aff3">Department of Endocrinology, George Washington University Hospital, Washington, DC</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mikita, Jeffrey A" sort="Mikita, Jeffrey A" uniqKey="Mikita J" first="Jeffrey A." last="Mikita">Jeffrey A. Mikita</name>
<affiliation><nlm:aff id="aff4">Department of Sleep Medicine, Walter Reed Army Medical Center, Washington, DC</nlm:aff>
</affiliation>
</author>
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<series><title level="j">Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine</title>
<idno type="ISSN">1550-9389</idno>
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<imprint><date when="2011">2011</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Background:</title>
<p>Given the pathogenesis of obstructive sleep apnea (OSA), anesthesiologists may be in a unique position to rapidly identify patients who are at risk for undiagnosed OSA in the perioperative period. Identification is the first step in prompt diagnosis and potential prevention of OSA related comorbidities. Patients who exhibit unanticipated difficult mask ventilation (DMV) during induction of general anesthesia may be at risk of having undiagnosed OSA.</p>
</sec>
<sec><title>Objective:</title>
<p>To determine the association of OSA in patients with difficult mask ventilation under general anesthesia.</p>
</sec>
<sec><title>Methods:</title>
<p>Ten patients were identified over a 2-year period at the time of anesthetic induction as being difficult to mask ventilate and were then enrolled in this prospective pilot study. After enrollment and informed consent, the patients were referred to the sleep study center for full overnight polysomnography to evaluate for the presence and severity of OSA.</p>
</sec>
<sec><title>Results:</title>
<p>Of our cohort, 9/10 patients exhibited polysomnographic evidence of OSA, while the last subject tested positive for sleep disordered breathing. Eighty percent (8/10) of subjects espoused snoring, but only 10% (1/10) reported witnessed apneas. Average DMV was 2.5, and higher grades of DMV were associated with more severe OSA.</p>
</sec>
<sec><title>Conclusion:</title>
<p>In this study, difficult mask ventilation was predictive of undiagnosed OSA. Anesthesiologists may be in a unique position to identify patients at risk for OSA and prevention of related comorbidities.</p>
</sec>
<sec><title>Citation:</title>
<p>Plunkett AR; Mclean BC; Brooks D; Plunkett M; Mikita JA. Does difficult mask ventilation predict obstructive sleep apnea? A prospective pilot study to identify the prevalence of osa in patients with difficult mask ventilation under general anesthesia. <italic>J Clin Sleep Med</italic>
 2011;7(5):473-477.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Sleep Med</journal-id>
<journal-id journal-id-type="publisher-id">JCSM</journal-id>
<journal-title-group><journal-title>Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">1550-9389</issn>
<issn pub-type="epub">1550-9397</issn>
<publisher><publisher-name>American Academy of Sleep Medicine</publisher-name>
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</journal-meta>
<article-meta><article-id pub-id-type="pmid">22003342</article-id>
<article-id pub-id-type="pmc">3190846</article-id>
<article-id pub-id-type="doi">10.5664/JCSM.1310</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>New Research</subject>
<subj-group><subject>Scientific Investigations</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Does Difficult Mask Ventilation Predict Obstructive Sleep Apnea? A Prospective Pilot Study to Identify the Prevalence of OSA in Patients with Difficult Mask Ventilation Under General Anesthesia</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Plunkett</surname>
<given-names>Anthony R.</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mclean</surname>
<given-names>Brian C.</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brooks</surname>
<given-names>Daren</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Plunkett</surname>
<given-names>Mary T.</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mikita</surname>
<given-names>Jeffrey A.</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="aff4"><sup>4</sup>
</xref>
</contrib>
<aff id="aff1"><label>1</label>
Department of Anesthesia and Operative Services, Walter Reed Army Medical Center, Washington, DC</aff>
<aff id="aff2"><label>2</label>
Department of Anesthesia and Operative Services, Tripler Army Medical Center, Honolulu, HI</aff>
<aff id="aff3"><label>3</label>
Department of Endocrinology, George Washington University Hospital, Washington, DC</aff>
<aff id="aff4"><label>4</label>
Department of Sleep Medicine, Walter Reed Army Medical Center, Washington, DC</aff>
</contrib-group>
<author-notes><corresp id="cor1">Address correspondence to: Army Regional Anesthesia & Pain Management Initiative c/o Anthony R. Plunkett, M.D., <addr-line>Walter Reed Army Medical Center, Building 2, Ward 44, Room 4418, Washington, DC 20307-5001</addr-line>
<phone>(202) 427-3504</phone>
<fax>(202) 782-5066</fax>
<email>anthonyrplunkett@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><day>15</day>
<month>10</month>
<year>2011</year>
</pub-date>
<volume>7</volume>
<issue>5</issue>
<fpage>473</fpage>
<lpage>477</lpage>
<history><date date-type="received"><month>9</month>
<year>2010</year>
</date>
<date date-type="rev-recd"><month>5</month>
<year>2011</year>
</date>
<date date-type="accepted"><month>5</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>© 2011 American Academy of Sleep Medicine</copyright-statement>
<copyright-year>2011</copyright-year>
</permissions>
<abstract><sec><title>Background:</title>
<p>Given the pathogenesis of obstructive sleep apnea (OSA), anesthesiologists may be in a unique position to rapidly identify patients who are at risk for undiagnosed OSA in the perioperative period. Identification is the first step in prompt diagnosis and potential prevention of OSA related comorbidities. Patients who exhibit unanticipated difficult mask ventilation (DMV) during induction of general anesthesia may be at risk of having undiagnosed OSA.</p>
</sec>
<sec><title>Objective:</title>
<p>To determine the association of OSA in patients with difficult mask ventilation under general anesthesia.</p>
</sec>
<sec><title>Methods:</title>
<p>Ten patients were identified over a 2-year period at the time of anesthetic induction as being difficult to mask ventilate and were then enrolled in this prospective pilot study. After enrollment and informed consent, the patients were referred to the sleep study center for full overnight polysomnography to evaluate for the presence and severity of OSA.</p>
</sec>
<sec><title>Results:</title>
<p>Of our cohort, 9/10 patients exhibited polysomnographic evidence of OSA, while the last subject tested positive for sleep disordered breathing. Eighty percent (8/10) of subjects espoused snoring, but only 10% (1/10) reported witnessed apneas. Average DMV was 2.5, and higher grades of DMV were associated with more severe OSA.</p>
</sec>
<sec><title>Conclusion:</title>
<p>In this study, difficult mask ventilation was predictive of undiagnosed OSA. Anesthesiologists may be in a unique position to identify patients at risk for OSA and prevention of related comorbidities.</p>
</sec>
<sec><title>Citation:</title>
<p>Plunkett AR; Mclean BC; Brooks D; Plunkett M; Mikita JA. Does difficult mask ventilation predict obstructive sleep apnea? A prospective pilot study to identify the prevalence of osa in patients with difficult mask ventilation under general anesthesia. <italic>J Clin Sleep Med</italic>
 2011;7(5):473-477.</p>
</sec>
</abstract>
<kwd-group><kwd>Obstructive sleep apnea</kwd>
<kwd>difficult mask ventilation</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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Does Difficult Mask Ventilation Predict Obstructive Sleep Apnea? A Prospective Pilot Study to Identify the Prevalence of OSA in Patients with Difficult Mask Ventilation Under General Anesthesia

Does Difficult Mask Ventilation Predict Obstructive Sleep Apnea? A Prospective Pilot Study to Identify the Prevalence of OSA in Patients with Difficult Mask Ventilation Under General Anesthesia

Source :

Abstract

Links to Exploration step

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Pour manipuler ce document sous Unix (Dilib)

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