Document Detail

Breathing during sleep immediately after uvulopalatopharyngoplasty.
MedLine Citation:
PMID:  3773623     Owner:  NLM     Status:  MEDLINE    
Uvulopalatopharyngoplasty (UPPP) has been acclaimed in the treatment of obstructive sleep apnea (OSA). Evaluation of the effect of UPPP has usually been done 6 to 8 weeks postoperatively. Recently, a patient died suddenly at home of unknown causes 48 hours following UPPP. Autopsy evaluation demonstrated no evidence of hemorrhage, aspiration, or airway edema; however, it caused us to reassess our postoperative program. Three obese patients (192%, 162% and 157% of ideal body weight) with OSA underwent polysomnography on the second postoperative night. The mean duration of the postoperative apneas was not significantly different; however, the nadir SaO2 during apnea in one patient was significantly lower postoperatively. Those individuals with awake hypercapnia nad hypoxemia who had significant sleep associated hemoglobin unsaturation preoperatively may be at greatest risk. These observations indicate that careful postoperative monitoring is warranted in this group of patients.
J T Johnson; M H Sanders
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  The Laryngoscope     Volume:  96     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  1986 Nov 
Date Detail:
Created Date:  1986-12-17     Completed Date:  1986-12-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1236-8     Citation Subset:  IM    
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MeSH Terms
Disorders of Excessive Somnolence / etiology
Middle Aged
Obesity, Morbid / complications*,  physiopathology
Palate / surgery*
Pharynx / surgery*
Postoperative Period
Sleep Apnea Syndromes / etiology,  physiopathology*,  surgery
Uvula / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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