Update on the perioperative management of obstructive sleep apnea adult patients: a narrative review

Abstract

Obstructive Sleep apnea (OSA) is the most frequently encountered sleep disorder. It is characterized by repetitive and intermittent closure of the upper airway and is associated with significant predictable peri-operative cardio- respiratory co-morbidities. This pathology is under-diagnosed, even though it can be encountered in a third of the surgical population. Its complexity and heterogeneity make the perioperative management of those patients a challenge and requires adaptation. This article describes the pathophysiology of the condition, and its perioperative management. It revisits management algorithms and care pathways, to provide the reader with up-to-date information for the improvement of patient care.