Trends in treating total joint patients with OSA

Editor's Note

This population-based analysis finds that implementation of obstructive sleep apnea (OSA) interventions in total joint patients is limited, with some current trends virtually in contrast to practice guidelines.

Of more than 1 million patients analyzed, anesthetic techniques did not differ by OSA status, and overall, less than 25% received neuraxial anesthesia and 15% received nerve blocks.

The absolute number of patients with OSA receiving perioperative oximetry, supplemental oxygen, and positive airway pressure therapy significantly increased over time; however, the proportional use significantly decreased.

Reasons for these findings are not clear, but resource constraints may be a contributor, the authors say.

BACKGROUND: Emerging evidence associating obstructive sleep apnea (OSA) with adverse perioperative outcomes has recently heightened the level of awareness among perioperative physicians. In particular, estimates projecting the high prevalence of this condition in the surgical population highlight the necessity of the development and adherence to "best clinical practices."