OSA Risk Level in Dental Patients and Correlation With Complications After General Anesthesia

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Obstructive sleep apnea (OSA) is a sleep-related respiratory dysfunction. The prevalence of OSA is increasing with the increasing rates of obesity and elderly population worldwide. Perioperative anesthesia management should be adjusted to improve patient safety in patients with OSA. In OSA patients, positive pressure ventilation support may be required in the preoperative period, various ventilation strategies may be required in the intraoperative period, different pharmacologic agents may need to be avoided, and intensive care unit follow-up or noninvasive ventilation support may be required in the postoperative period. However, it is reported that a significant percentage of OSA patients remain undiagnosed. ASA (American Society of Anesthesiologists) has reported the criteria that should be questioned in order to determine the risk of patients in terms of OSA and to initiate the diagnostic process in risky patients and to make appropriate anesthesiologic arrangements in the perioperative period. In addition, the STOP-BANG assessment scale, which is widely used all over the world in OSA risk assessment, is also used in OSA risk assessment. It is thought that dental caries and extraction needs may be higher in OSA patients, especially since open-mouth sleeping accompanies the situation. In this respect, it is also important for patients to be diagnosed with OSA as it may prevent dental damage due to open-mouth sleeping in the future. Identifying patients at risk for OSA and directing them to the diagnostic process is very important for patient safety. Within the scope of the study, the criteria recommended by ASA and STOP-BANG score will be evaluated and recorded. Risk stratification in terms of STOP-BANG questionnaire and ASA criteria will be done separately for each patient and for each classification method. Patients at high risk will be consulted to the relevant medical department in the preoperative period for further investigation and treatment. In addition, it is aimed to correlate the risk levels determined in the study with postoperative respiratory complications and recovery time.

A vizsgálat 7 csoportja

• Group lowSTOP-B

  Study group including patients in the low-risk group in the assessment to be made with STOP-BANG questionnaire.

  Kezelés: The STOP-BANG questionnaire for determining OSA risk level. és Record of postoperative complications

• Group intermediateSTOP-B

  Study group including patients in the medium-risk group in the assessment to be made with STOP-BANG questionnaire.

  Kezelés: The STOP-BANG questionnaire for determining OSA risk level. és Record of postoperative complications

• Group highSTOP-B

  Study group including patients in the high-risk group in the assessment to be made with STOP-BANG questionnaire.

  Kezelés: The STOP-BANG questionnaire for determining OSA risk level. és Record of postoperative complications

• Group noneASA

  The study group that includes patients who are not at risk for OSA in the evaluation with the criteria recommended by the ASA.

  Kezelés: ASA recommended criteria for determining OSA risk level. és Record of postoperative complications

• Group mildASA

  Study group including patients in the mild-risk group for OSA in the evaluation with the criteria recommended by the ASA.

  Kezelés: ASA recommended criteria for determining OSA risk level. és Record of postoperative complications

• Group moderateASA

  Study group including patients in the moderate-risk group for OSA in the evaluation with the criteria recommended by the ASA.

  Kezelés: ASA recommended criteria for determining OSA risk level. és Record of postoperative complications

• Group severeASA

  Study group including patients in the severe-risk group for OSA in the evaluation with the criteria recommended by the ASA.

  Kezelés: ASA recommended criteria for determining OSA risk level. és Record of postoperative complications