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Did Skin Prep Fuel This Fire? - February 2017 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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J A N U A R Y 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 1 3 3 Key Takeaways From the New OSA Guidelines What the latest obstructive sleep apnea recommendations mean to you. C hances are, there are patients with obstructive sleep apnea sit- ting in your wait- ing room or lying in your pre-op bays right now. And they might not even know they have OSA. To help you recognize and treat the condition, Frances Chung, MBBS, FRCPC, a professor of anesthesia at the University of Toronto, recently chaired a task force to update guidelines for screening and assessing adult OSA patients (osmag.net/x4xssv). Here are the key takeaways. • Proceed in most cases, but with caution. Is sleep apnea reason enough to delay or cancel surgery? No, says the task force — only if patients have additional problems that suggest disturbed ventilation or gas exchange. These include evidence of hypoventilation, severe pulmonary hypertension or resting hypoxemia in the absence of other diagnosed cardiopulmonary disease. Patients with these comorbidi- ties have much higher rates of complications and should undergo fur- ther evaluations before having surgery. There's also evidence to support delaying surgery in morbidly obese patients undergoing bariatric surgery. Roughly half of severely obese Anesthesia Alert Jim Burger • POSITIVE RESULTS Since CPAP therapy may reduce the risk of cardiovascular events, patients should wear their devices both pre- and post-operatively.

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