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Obstructive Sleep Apnea
General Information
Prevalence and Incidence
Screening
Symptoms and Signs
Comorbidities
Predisposing Conditions
Patient Information
Patients with Sleep Apnea
What is Sleep Apnea?
What are Risks of Untreated Sleep Apnea?
What Causes Sleep Apnea?
Who is at Risk for Sleep Apnea?
How Common is Sleep Apnea?
How do I Know If I Have Sleep Apnea?
How Will I be Tested for Sleep Apnea?
Screening
What is the Treatment for Sleep Apnea?
References
Surgery with Obstructive Sleep Apnea
Prevalence of Obstructive Sleep Apnea in Surgical Population
What are the Postoperative Complications for Patients with Sleep Apnea?
Pulmonary and Cardiac Complications
Postoperative Delirium (disturbance of mind or confusion)
Hospital Length of Stay
Increased Transfers to the Intensive Care Unit
Increased Utilization of Hospital Resources
Increased In-Hospital Death
Depression of Breathing and Treatment of Sleep Apnea
Continuous Positive Airway Pressure (CPAP) Treatment
Patients at High Risk for Sleep Apnea
Benefits of CPAP Device. What is the Evidence for Peri-Operative CPAP Use?
What Effect Does Sleep Apnea Have on Life Span?
References
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Sleep Apnea and Surgery Brochure
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General Information
Prevalence and Incidence
Screening
Symptoms and Signs
Comorbidities
Predisposing Conditions
Screening
STOP
-Bang Questionnaire
Is it possible that you have ...
Obstructive Sleep Apnea (OSA)?
Please answer the following questions below to determine if you might be at risk.
Yes
No
S
noring ?
Do you
Snore Loudly
(loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night)?
Yes
No
T
ired ?
Do you often feel
Tired, Fatigued, or Sleepy
during the daytime (such as falling asleep during driving or talking to someone)?
Yes
No
O
bserved ?
Has anyone
Observed
you
Stop Breathing
or
Choking/Gasping
during your sleep ?
Yes
No
P
ressure ?
Do you have or are being treated for
High Blood Pressure
?
Yes
No
B
ody Mass Index more than 35 kg/m
2
?
Body Mass Index Calculator
cm / kg
inches / lb
Height:
Weight:
BMI:
Yes
No
A
ge older than 50 ?
Yes
No
N
eck size large ? (Measured around Adams apple)
Is your shirt collar 16 inches / 40cm or larger?
Yes
No
G
ender = Male ?
For general population
OSA - Low Risk
: Yes to 0 - 2 questions
OSA - Intermediate Risk
: Yes to 3 - 4 questions
OSA - High Risk
: Yes to 5 - 8 questions
or Yes to 2 or more of 4 STOP questions + male gender
or Yes to 2 or more of 4 STOP questions + BMI > 35kg/m
2
or Yes to 2 or more of 4 STOP questions + neck circumference 16 inches / 40cm
Property of University Health Network.
Please use the "About Us" for more information
Modified from
Chung F et al. Anesthesiology 2008; 108: 812-821,
Chung F et al Br J Anaesth 2012; 108: 768-775,
Chung F et al J Clin Sleep Med Sept 2014.
Prevalence and Incidence
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Symptoms and Signs
Toronto Western Hospital, University Health Network
University of Toronto
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