Abstract | INTRODUCTION: PATIENTS AND METHODS: OSA and Non-OSA patients were identified at a tertiary institution between January 2019 and November 2020. Non-OSA patients were defined as those who have not been formerly diagnosed with OSA. A modified STOP-BANG score (MSBS) was performed to screen Non-OSA patients for OSA. Recovery was measured by Phase I recovery time, or time it took a patient to reach ≥9/10 on the Aldrete scoring system. RESULTS: A total of 334 patients were included with 142 in the OSA cohort (59 TIVA, 83 inhalational anesthesia) and 192 in the Non-OSA cohort (119 TIVA, 73 inhalational anesthesia). In OSA patients, there was a 41.29-minute recovery time reduction when using TIVA versus sevoflurane (P < .0001). Non-OSA patients recovered faster than OSA patients when undergoing inhalational anesthesia by 46.76 minutes and TIVA by 18.58 minutes (P < .0001 and P = .0907, respectively). Non-OSA patients with a MSBS < 3 and ≥3 had a shorter recovery time compared to OSA patients when both underwent sevoflurane anesthesia (57.27 minutes, P < .0001 and 56.23 minutes, P = .040, respectively). Non-OSA patients with a MSBS of <3 had a decrease in recovery time of 26.68 minutes when compared to OSA patients who underwent TIVA (P = .0004). CONCLUSIONS: When utilizing TIVA over inhalational anesthesia, patients with OSA have significantly increased benefit in terms of reduced Phase I recovery times as compared to Non-OSA patients.
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Authors | Emily S Sagalow, Matthew Stewart, Leonard Estephan, Julianna Rodin, Ashwin Ananth, Brian Curcio, Howard Krein, Ryan Heffelfinger, Adam Thaler, Patrick Hunt, Maurits Boon, Colin Huntley |
Journal | The Annals of otology, rhinology, and laryngology
(Ann Otol Rhinol Laryngol)
Vol. 132
Issue 6
Pg. 667-673
(Jun 2023)
ISSN: 1943-572X [Electronic] United States |
PMID | 35833578
(Publication Type: Journal Article)
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Chemical References |
- Sevoflurane
- Anesthetics, Intravenous
- Propofol
- Anesthetics, Inhalation
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Topics |
- Humans
- Sevoflurane
- Anesthetics, Intravenous
- Propofol
- Anesthesia, Intravenous
- Anesthesia, General
- Anesthetics, Inhalation
- Sleep Apnea, Obstructive
(diagnosis)
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