Post-operative sleep-disordered breathing with different anesthesia techniques: an observational study

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F21%3A00075894" target="_blank" >RIV/00159816:_____/21:00075894 - isvavai.cz</a>

Výsledek na webu

<a href="https://aimjournal.cz/en/artkey/aim-202104-0003_post-8209-operative-sleep-8209-disordered-breathing-with-different-anesthesia-techniques-an-observational.php?back=%2Fsearch.php%3Fquery%3DPost-operative%2Bsleep-disordered%2Bbreathing%2Bwith%2Bdifferent%2Banesthesia%2Btechniques%253A%2Ban%2Bobservational%2Bstudy%26sfrom%3D0%26spage%3D30" target="_blank" >https://aimjournal.cz/en/artkey/aim-202104-0003_post-8209-operative-sleep-8209-disordered-breathing-with-different-anesthesia-techniques-an-observational.php?back=%2Fsearch.php%3Fquery%3DPost-operative%2Bsleep-disordered%2Bbreathing%2Bwith%2Bdifferent%2Banesthesia%2Btechniques%253A%2Ban%2Bobservational%2Bstudy%26sfrom%3D0%26spage%3D30</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.36290/aim.2021.050" target="_blank" >10.36290/aim.2021.050</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Post-operative sleep-disordered breathing with different anesthesia techniques: an observational study

Popis výsledku v původním jazyce

Objective: It has been suggested that regional anesthesia may prevent post-operative exacerbation of obstructive sleep apnea. However, clinical evidence is lacking. We have hypothesized that post-operative exacerbation of sleep-disordered breathing is related to the anesthetic technique. Design: Prospective observational study. Setting: Orthopedic intensive care unit. Material and methods: The inclusion criterion was orthopedic surgery requiring anesthesia. Multichannel polygraphy sleep studies were performed one night before and four consecutive nights after surgery. The Kruskal-Wallis test and Friedman&apos;s ANOVA were used. Results:Thirty-five patients completed investigations and were compared according to anesthetic techniques which included 1) general anesthesia (n = 11); 2) subarachnoid anesthesia with intrathecal morphine (n = 11); and 3) subarachnoid anesthesia (without intrathecal morphine) with epidural catheter for opioid-free post-operative analgesia (n = 13). Obstructive sleep apnea was diagnosed pre-operatively in 22 (63%) patients. In the general anesthesia group, hypopnea significantly increased on the third and fourth post-operative nights (p &lt; 0.05). In the subarachnoid anesthesia with intrathecal morphine group, hypopnea and oxygen desaturation index decreased significantly on the first post-operative night and increased on the third and fourth post-operative nights as did the apnea-hypopnea index (all p &lt; 0.05). In the subarachnoid anesthesia with epidural catheter group, there were no significant changes in sleep-disordered breathing parameters. In the subarachnoid anesthesia with epidural catheter group, the cumulative opioid dose was significantly lower compared to the other two groups. Conclusion: Compared to pre-operative findings, changes in sleep-disordered breathing events were less pronounced in patients who received subarachnoid anesthesia (without intrathecal morphine) with epidural catheter for opioid-free post-operative epidural analgesia.

Název v anglickém jazyce

Post-operative sleep-disordered breathing with different anesthesia techniques: an observational study

Popis výsledku anglicky

Objective: It has been suggested that regional anesthesia may prevent post-operative exacerbation of obstructive sleep apnea. However, clinical evidence is lacking. We have hypothesized that post-operative exacerbation of sleep-disordered breathing is related to the anesthetic technique. Design: Prospective observational study. Setting: Orthopedic intensive care unit. Material and methods: The inclusion criterion was orthopedic surgery requiring anesthesia. Multichannel polygraphy sleep studies were performed one night before and four consecutive nights after surgery. The Kruskal-Wallis test and Friedman&apos;s ANOVA were used. Results:Thirty-five patients completed investigations and were compared according to anesthetic techniques which included 1) general anesthesia (n = 11); 2) subarachnoid anesthesia with intrathecal morphine (n = 11); and 3) subarachnoid anesthesia (without intrathecal morphine) with epidural catheter for opioid-free post-operative analgesia (n = 13). Obstructive sleep apnea was diagnosed pre-operatively in 22 (63%) patients. In the general anesthesia group, hypopnea significantly increased on the third and fourth post-operative nights (p &lt; 0.05). In the subarachnoid anesthesia with intrathecal morphine group, hypopnea and oxygen desaturation index decreased significantly on the first post-operative night and increased on the third and fourth post-operative nights as did the apnea-hypopnea index (all p &lt; 0.05). In the subarachnoid anesthesia with epidural catheter group, there were no significant changes in sleep-disordered breathing parameters. In the subarachnoid anesthesia with epidural catheter group, the cumulative opioid dose was significantly lower compared to the other two groups. Conclusion: Compared to pre-operative findings, changes in sleep-disordered breathing events were less pronounced in patients who received subarachnoid anesthesia (without intrathecal morphine) with epidural catheter for opioid-free post-operative epidural analgesia.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30223 - Anaesthesiology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2021

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Anesteziologie a intenzivní medicína

ISSN

1214-2158

e-ISSN

—

Svazek periodika

32

Číslo periodika v rámci svazku

4-5

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

7

Strana od-do

204-210

Kód UT WoS článku

000748840500001

EID výsledku v databázi Scopus

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