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PATIENT SAFETY
Patients are less aware of the immediate impact of sleep apnea can have on various physiological states such as nightly blood pressure; pre and post surgical considerations; and variation of pulse oxygen saturation.

The presence of sleep disorders can have a wide ranging impact on blood pressure; amount of anesthesia needed for a surgical procedure as well as safety factors post surgery; and effectiveness of monitoring of arterial oxygen saturation. The awareness of these issues is critical when faced with either an emerging health issue or managing an ongoing chronic health issue which can impact a sleep patient's quality of life and lead to less optimal health outcomes.

Specific program areas to explore:
1. Pulse Ox issue being examined by FDA
Partners (Neil, Congressional People who are holding hearings on the FDA, Digital Equity People)
2. Pre and Post Surgical Safety
Partners: Society for Anesthesia and Sleep Medicine, ABC President, BWHI, ???)
3. Blood Pressure Dropping
Partners: ABC?

Society for Anesthesia and Sleep Medicine
Mission Statement
The mission of SASM is to advance standards of care for clinical problems shared by Anesthesiology and Sleep Medicine, including peri-operative management of sleep dis-ordered breathing, and to promote interdisciplinary communication, education and research in matters common to anesthesia and sleep.

Issue


Perioperative Management of the Patient With Obstructive Sleep Apnea: A Narrative Review
Crispiana Cozowicz 1, Stavros G Memtsoudis 1 2
PMID: 33857965

Preoperative screening of patients at high risk of obstructive sleep apnea and postoperative complications: A systematic review and meta-analysis
Shuo Wang 1, Shiyong Li 1, Yilin Zhao 1, Xiaoping Zhao 2, Zhiqiang Zhou 1, Quanshui Hao 3, Ailin Luo 1, Rao Sun 4
Affiliations expand
PMID: 35217467 DOI: 10.1016/j.jclinane.2022.110692

Clinical implications of opioid-induced ventilatory impairment
Gavin G Pattullo https://orcid.org/0000-0001-6640-6714 gavinpattullo@gmail.comView all authors and affiliations
Volume 50, Issue 1-2
https://doi.org/10.1177/0310057X211070292

Watson NF, Badr MS, Belenky G, et al. Recommended amount of sleep for a healthy adult: a joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. J Clin Sleep Med 2015;11(6):591–592.

Pescha PP, Chew M, Andrews A. Racial and Ethnic Disparities in Utilization of Tonsillectomy among Medicaid-Insured Children. J Pediatr. 2021 Jun; 233: 191–197.e2

FDA Panel Examines Evidence That Pulse Oximeters May Not Work As Well On Dark Skin; Jacqueline Howerd, CNN Story Published November 1, 2022  

Bickler PE, Feiner JR, Severinghaus, JW. Effects of Skin Pigmentation on Pulse Oximeter Accuracy at Low Saturation. Anesthesiology April 2005, Vol. 102, 715–719.

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