Is there anything you do differently for OSA patients thank for non-OSA's?
You know in advance, having done your History, that they might already pre-operatively be on narcotic pain meds, which depress respirations. How does that affect your choice of pre-op and intra-op anesthetics or sedatives?
Are you willing and able to do general for them or do you prefer sedation/amnesia/local-regional whenever possible?
Do you routinely keep them in RR longer or send them to a particular ICU or semi-ICU afterwards or just out to regular ward if ICU is otherwise not warranted? What are your orders for post-op care with regard to their OSA?
Do you require that they use CPAP post-op?
Anything else you do or don't do special for OSA patients?
Thank you. Just comparing our hospital to yours. We do keep them in RR for an extra hour if they've had general and we do put CPAP on them. We then send them to our special step-down/Resp Unit overnight, where we do continuous cardiac and O2 Sat monitoring. Some do continue to use CPAP in our unit. We have a CRNA immediately present around the clock to intubate if needed, and our nurses are able to tube, also, in case the CRNA is briefly unavailable. So far, haven't ever seen this happen but it's a good feeling that we are doing all that we can do. Or are we missing anything?