Clinical predictors of apnoea-hypopnoea during propofol sedation in patients undergoing spinal anaesthesia.
Anaesthesia
; 67(7): 755-9, 2012 Jul.
Article
en En
| MEDLINE
| ID: mdl-22506571
ABSTRACT
This study assessed the relationship between the occurrence of apnoea-hypopnoea during propofol sedation for spinal anaesthesia and two different predictive tests of sleep apnoea the STOP-Bang score (snoring while sleeping, daytime tiredness, observed breathing stoppages, high blood pressure-body mass index, age, neck circumference, gender); and the obstructive sleep apnoea (OSA) score. Thirty-four middle-aged men not diagnosed with obstructive sleep apnoea received propofol infusions adjusted to produce a bispectral index of 70-75. ApnoeaLink(TM) was used to estimate the incidence of apnoea-hypopnoea. The median (IQR [range]) apnoea-hypopnoea index was 17 (8-24 [0-70]) events.h(-1) and correlated weakly with the STOP-Bang score (p = 0.022, r = 0.423) and moderately with the OSA score (p < 0.001, r = 0.693). Severe apnoea-hypopnoea developed more frequently in patients with a higher OSA score (34.5% vs 0%) or higher STOP-Bang score (27.6% vs 6.9%). Both assessment tools have some predictive value for the occurrence of apnoea-hypopnoea during propofol sedation in patients undergoing spinal anaesthesia.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Propofol
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Sedación Consciente
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Apnea Obstructiva del Sueño
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Hipnóticos y Sedantes
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Anestesia Raquidea
Tipo de estudio:
Diagnostic_studies
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Etiology_studies
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Evaluation_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Aged
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Anaesthesia
Año:
2012
Tipo del documento:
Article
País de afiliación:
Corea del Sur