Use of CPAP Machines in the Perioperative Setting in Ambulatory Surgical Centers
Javier Marull,1,* M Jonathan Vachon,1,* Dylan Buitran,2 Amy Macaluso1 1University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA; 2University of California Irvine, Irvine, CA, 92697, USA*These authors contributed equally to this workCorrespondence: Javier Marull...
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Dove Medical Press
2021
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oai:doaj.org-article:57a441cb62c642fa9531766102edb61c2021-12-05T18:27:45ZUse of CPAP Machines in the Perioperative Setting in Ambulatory Surgical Centers1179-1608https://doaj.org/article/57a441cb62c642fa9531766102edb61c2021-12-01T00:00:00Zhttps://www.dovepress.com/use-of-cpap-machines-in-the-perioperative-setting-in-ambulatory-surgic-peer-reviewed-fulltext-article-NSShttps://doaj.org/toc/1179-1608Javier Marull,1,* M Jonathan Vachon,1,* Dylan Buitran,2 Amy Macaluso1 1University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA; 2University of California Irvine, Irvine, CA, 92697, USA*These authors contributed equally to this workCorrespondence: Javier MarullUniversity of Texas Southwestern Medical Center, 1801 Inwood Road, 2nd Floor Outpatient Surgery Center, Dallas, TX, 75390, USATel +1 214-403-4592Email javier.marull@utsouthwestern.eduIntroduction: Obstructive sleep apnea is a common sleep-related breathing disorder that is associated with significant perioperative complications. In 2012 and 2017, Society of Ambulatory Anesthesia and Society of Anesthesia and Sleep Medicine published consensus statements for the selection of patients with OSA scheduled for ambulatory surgery. Despite these recommendations, the need for a CPAP device in the immediate postoperative period at ambulatory surgical centers remains controversial because these ambulatory patients are healthier and have fewer complications. This study aims to investigate the compliance rate with this recommendation among busy ASCs.Methods: We created a survey to investigate if ASCs require patients to bring their CPAP devices to the facility. The survey measured compliance rates of ASCs to SAMBA’s recommended guidelines of having CPAP machines available.Results: The survey had a response rate of 60.9% encompassing 408,147 cases among 1946 providers. Of the facilities that responded, only 59.7% of them required their patients to bring their CPAP devices on the day of surgery. Out of the 67 facilities that responded, only 25.37% reported using a CPAP machine postoperatively within the past 2 years, with the highest CPAP usage at one facility being 20 times in that 2-year period.Discussion: This would mean that 40.3% of ASCs that did respond do not have access to a CPAP device on-site and may possibly lack the proper equipment needed to handle these complications. The frequency and fatality rate associated with postoperative respiratory complications requiring a CPAP device are still inconclusive, making the need for CPAP devices during perioperative management controversial. Studies further in-depth are therefore necessary to assess postoperative complications that require the use of a CPAP device to determine the urgency of ASCs implementing SAMBA’s recommendations.Keywords: obstructive sleep apnea, perioperative care, postoperative care, CPAP, complianceMarull JVachon MJBuitran DMacaluso ADove Medical Pressarticleobstructive sleep apneaperioperative carepostoperative carecpapcompliancePsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 13, Pp 2137-2140 (2021) |
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DOAJ |
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obstructive sleep apnea perioperative care postoperative care cpap compliance Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 |
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obstructive sleep apnea perioperative care postoperative care cpap compliance Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Marull J Vachon MJ Buitran D Macaluso A Use of CPAP Machines in the Perioperative Setting in Ambulatory Surgical Centers |
| description |
Javier Marull,1,* M Jonathan Vachon,1,* Dylan Buitran,2 Amy Macaluso1 1University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA; 2University of California Irvine, Irvine, CA, 92697, USA*These authors contributed equally to this workCorrespondence: Javier MarullUniversity of Texas Southwestern Medical Center, 1801 Inwood Road, 2nd Floor Outpatient Surgery Center, Dallas, TX, 75390, USATel +1 214-403-4592Email javier.marull@utsouthwestern.eduIntroduction: Obstructive sleep apnea is a common sleep-related breathing disorder that is associated with significant perioperative complications. In 2012 and 2017, Society of Ambulatory Anesthesia and Society of Anesthesia and Sleep Medicine published consensus statements for the selection of patients with OSA scheduled for ambulatory surgery. Despite these recommendations, the need for a CPAP device in the immediate postoperative period at ambulatory surgical centers remains controversial because these ambulatory patients are healthier and have fewer complications. This study aims to investigate the compliance rate with this recommendation among busy ASCs.Methods: We created a survey to investigate if ASCs require patients to bring their CPAP devices to the facility. The survey measured compliance rates of ASCs to SAMBA’s recommended guidelines of having CPAP machines available.Results: The survey had a response rate of 60.9% encompassing 408,147 cases among 1946 providers. Of the facilities that responded, only 59.7% of them required their patients to bring their CPAP devices on the day of surgery. Out of the 67 facilities that responded, only 25.37% reported using a CPAP machine postoperatively within the past 2 years, with the highest CPAP usage at one facility being 20 times in that 2-year period.Discussion: This would mean that 40.3% of ASCs that did respond do not have access to a CPAP device on-site and may possibly lack the proper equipment needed to handle these complications. The frequency and fatality rate associated with postoperative respiratory complications requiring a CPAP device are still inconclusive, making the need for CPAP devices during perioperative management controversial. Studies further in-depth are therefore necessary to assess postoperative complications that require the use of a CPAP device to determine the urgency of ASCs implementing SAMBA’s recommendations.Keywords: obstructive sleep apnea, perioperative care, postoperative care, CPAP, compliance |
| format |
article |
| author |
Marull J Vachon MJ Buitran D Macaluso A |
| author_facet |
Marull J Vachon MJ Buitran D Macaluso A |
| author_sort |
Marull J |
| title |
Use of CPAP Machines in the Perioperative Setting in Ambulatory Surgical Centers |
| title_short |
Use of CPAP Machines in the Perioperative Setting in Ambulatory Surgical Centers |
| title_full |
Use of CPAP Machines in the Perioperative Setting in Ambulatory Surgical Centers |
| title_fullStr |
Use of CPAP Machines in the Perioperative Setting in Ambulatory Surgical Centers |
| title_full_unstemmed |
Use of CPAP Machines in the Perioperative Setting in Ambulatory Surgical Centers |
| title_sort |
use of cpap machines in the perioperative setting in ambulatory surgical centers |
| publisher |
Dove Medical Press |
| publishDate |
2021 |
| url |
https://doaj.org/article/57a441cb62c642fa9531766102edb61c |
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