Purpose
Practice guidelines from the perianesthesia community suggest that preoperative identification
of patients with obstructive sleep apnea (OSA) and standardized longer observation
in postanesthesia care unit (PACU) promotes safety after general anesthesia. The purpose
of this study was to determine if longer monitoring of patients with OSA in the PACU
improves patient outcomes after general anesthesia.
Design
Evidence-based best practices literature review.
Methods
PACU patient charts were retrospectively analyzed for the presence of OSA diagnosis
and screening scores. Information was compared with the postoperative oxygen saturation
in PACU and nursing respiratory assessment documentation.
Findings
Most patients (96.5%) did not experience oxygen desaturation regardless of OSA diagnosis
or STOP (snore, tired, observed, pressure) score. There was no evidence extracted
from this sample that suggested patients with OSA experienced a higher incidence of
respiratory symptoms while in the PACU.
Conclusions
This study did not affirm that patients with OSA experienced a higher incidence of
oxygen desaturation or respiratory symptoms despite receiving additional monitoring
in PACU.
Keywords
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Biography
Jill Setaro, MSN, RN, CPAN, ACNS-BC, Departments of Nursing and Anesthesiology, Stony Brook Medicine, Stony Brook, New York, NY
Biography
Ruth Reinsel, PhD, Departments of Nursing and Anesthesiology, Stony Brook Medicine, Stony Brook, New York, NY
Biography
Dana Brun, RN, CPAN, Departments of Nursing and Anesthesiology, Stony Brook Medicine, Stony Brook, New York, NY
Article Info
Publication History
Published online: May 10, 2018
Footnotes
Conflict of interest: None to report.
Identification
Copyright
© 2018 by American Society of PeriAnesthesia Nurses
