scholarly journals Benzodiazepines Associated With Acute Respiratory Failure in Patients With Obstructive Sleep Apnea

2019 ◽  
Vol 9 ◽  
Author(s):  
Sheng-Huei Wang ◽  
Wei-Shan Chen ◽  
Shih-En Tang ◽  
Hung-Che Lin ◽  
Chung-Kan Peng ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Respiratory Failure ◽  
Sleep Apnea ◽  
Acute Respiratory Failure ◽  
Obstructive Sleep

Obstructive sleep apnea and acute respiratory failure due to pneumonia: Is truly a protective factor to mortality risk?

2015 ◽  
Vol 30 (5) ◽  
pp. 1139
Author(s):  
Sofia Karamichali ◽  
Francesca Sclifò ◽  
Ines Maria Grazia Piroddi ◽  
Antonio M. Esquinas ◽  
Antonello Nicolini
Keyword(s):  
Obstructive Sleep Apnea ◽  
Respiratory Failure ◽  
Sleep Apnea ◽  
Acute Respiratory Failure ◽  
Mortality Risk ◽  
Protective Factor ◽  
Obstructive Sleep

A Case of T-cell Lymphoma Presenting as Obstructive Sleep Apnea Caused by Mediastinitis from Operative Acute Respiratory Failure

2007 ◽  
Vol 58 (5) ◽  
pp. 491-497
Author(s):  
Teruhiro Ogawa ◽  
Kikuko Naka ◽  
Ryousuke Matsumoto ◽  
Kazunori Tanimoto ◽  
Takuma Makino ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Respiratory Failure ◽  
T Cell ◽  
Sleep Apnea ◽  
Acute Respiratory Failure ◽  
Cell Lymphoma ◽  
T Cell Lymphoma ◽  
Obstructive Sleep

scholarly journals Obstructive sleep apnea in acute respiratory failure

Critical Care ◽  
10.1186/cc395 ◽  
1999 ◽  
Vol 3 (Suppl 1) ◽  
pp. P020 ◽  
Author(s):  
S Pivetti ◽  
F Navone ◽  
B Tartaglino ◽  
R Urbino ◽  
V Gai
Keyword(s):  
Obstructive Sleep Apnea ◽  
Respiratory Failure ◽  
Sleep Apnea ◽  
Acute Respiratory Failure ◽  
Obstructive Sleep

scholarly journals Pulmonary complications in trauma patients with obstructive sleep apnea undergoing pelvic or lower limb operation

2020 ◽  
Vol 5 (1) ◽  
pp. e000529
Author(s):  
Michele Fiorentino ◽  
Franchesca Hwang ◽  
Sri Ram Pentakota ◽  
David H Livingston ◽  
Anne C Mosenthal
Keyword(s):  
Obstructive Sleep Apnea ◽  
Logistic Regression ◽  
Respiratory Failure ◽  
Sleep Apnea ◽  
Lower Limb ◽  
Independent Predictor ◽  
Ventilatory Support ◽  
Pulmonary Complications ◽  
Trauma Patients ◽  
Obstructive Sleep

BackgroundObstructive sleep apnea (OSA) is increasingly prevalent in the range of 2% to 24% in the US population. OSA is a well-described predictor of pulmonary complications after elective operation. Yet, data are lacking on its effect after operations for trauma. We hypothesized that OSA is an independent predictor of pulmonary complications in patients undergoing operations for traumatic pelvic/lower limb injuries (PLLI).MethodsNationwide Inpatient Sample (2009–2013) was queried for International Classification of Diseases, Ninth Revision, Clinical Modification codes for PLLI requiring operation. Elective admissions and those with concurrent traumatic brain injury with moderate to prolonged loss of consciousness were excluded. Outcome measures were pulmonary complications including ventilatory support, ventilator-associated pneumonia, pulmonary embolism (PE), acute respiratory distress syndrome (ARDS), and respiratory failure. Multivariable logistic regression analysis was used, adjusting for OSA, age, sex, race/ethnicity, and specific comorbidities (obesity, chronic lung disease, and pulmonary circulatory disease). P<0.01 was considered statistically significant.ResultsAmong the 337 333 patients undergoing PLLI operation 3.0% had diagnosed OSA. Patients with OSA had more comorbidities and were more frequently discharged to facilities. Median length of stay was longer in the OSA group (5 vs 4 days, p<0.001). Pulmonary complications were more frequent in those with OSA. Multivariable logistic regression showed that OSA was an independent predictor of ventilatory support (adjusted odds ratio (aOR), 1.37; 95% CI,1.24 to 1.51), PE (aOR 1.40; 95% CI, 1.15 to 1.70), ARDS (aOR 1.36; 95% CI,1.23 to 1.52), and respiratory failure (aOR 1.90; 95% CI, 1.74 to 2.06).ConclusionOSA is an independent and underappreciated predictor of pulmonary complications in those undergoing emergency surgery for PLLI. More aggressive screening and identification of OSA in trauma patients undergoing operation are necessary to provide closer perioperative monitoring and interventions to reduce pulmonary complications and improve outcomes.Level of evidencePrognostic Level IV.

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