Yılmaz Yenigün1, Anıl Özonur2, Kamil Mehmet Tuğrul3, Uğur Özbek3, Nurperi Gazioğlu4. 1. Anesthesiology, LIV Hospital Vadistanbul, Istanbul, Turkey. yenigunymd@gmail.com. 2. Anesthesiology and Reanimation, Istinye University, Istanbul, Turkey. 3. Anesthesiology, LIV Hospital Vadistanbul, Istanbul, Turkey. 4. Neurosurgery, Istinye University, Istanbul, Turkey.
Abstract
BACKGROUND: We describe a patient with severe obstructive sleep apnea scheduled for transsfenoidal surgery. Early postoperative use of continuous positive airway pressure (CPAP) was considered unsafe because increased risk of intracranial complications. METHODS: Aiming to bypass the upper airway obstruction and thus avoid CPAP, a 6-mm nasopharyngeal airway was introduced by the surgical team under endoscopic vision. In the postoperative period and during follow-up, patient and his family did not complain about apnea/hypopnea episodes and nasopharyngeal airway was tolerated comfortably. CONCLUSION: We recommend this technique as an alternative in obstructive sleep apnea patients undergoing transsfenoidal surgery.
BACKGROUND: We describe a patient with severe obstructive sleep apnea scheduled for transsfenoidal surgery. Early postoperative use of continuous positive airway pressure (CPAP) was considered unsafe because increased risk of intracranial complications. METHODS: Aiming to bypass the upper airway obstruction and thus avoid CPAP, a 6-mm nasopharyngeal airway was introduced by the surgical team under endoscopic vision. In the postoperative period and during follow-up, patient and his family did not complain about apnea/hypopnea episodes and nasopharyngeal airway was tolerated comfortably. CONCLUSION: We recommend this technique as an alternative in obstructive sleep apnea patients undergoing transsfenoidal surgery.
Authors: Gabrielle A White-Dzuro; Ken Maynard; Scott L Zuckerman; Kyle D Weaver; Paul T Russell; Matthew J Clavenna; Lola B Chambless Journal: J Clin Neurosci Date: 2016-02-22 Impact factor: 1.961
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