Bold Voices - January 2011 - (Page 17)

AT THE BEDSIDE STOP-BANG Helps Identify Surgical Patients at Risk T he STOP-BANG — Snoring, Tiredness during daytime, Observed apnea, high blood Pressure, Body mass index, Age, Neck circumference, Gender — questionnaire helps identify patients at higher than normal risk for surgical complications, a study fi nds. “Obstructive Sleep Apnea Syndrome and Postoperative Complications: Clinical Use of the STOP-BANG Questionnaire” in October’s Archives of Otolaryngology—Head & Neck Surgery adds that it’s probably because the preoperative It adds that “rapid eye movement (REM) sleep is diminished the night after surgery, followed by a period of REM rebound.” Breathing problems during REM sleep can “triple on the second and third postoperative nights,” it notes. OSAS may be more common among patients undergoing surgery “and related cardiorespiratory consequences may be exacerbated following surgical procedures because anesthetic agents and pain relievers decrease muscle tone in the upper airways and diminish control of breathing.” Lead author Tajender S. Vasu, fellow in sleep medicine at the Jefferson Sleep Disorders Center, Thomas Jefferson University, Philadelphia, says, “Based on this knowledge, it is important to identify surgical patients who are at high risk for obstructive sleep apnea syndrome,” study information adds. HAPPY NEW YOU INFLUENCE CHANGE STOP-BANG questionnaire — administered to 135 adults undergoing elective surgery in May 2008 — identifies patients with “occult” obstructive sleep apnea syndrome (OSAS). Patients with high-risk scores for OSAS — 41.5 percent — had a 19.6 percent rate of postoperative complications compared to 1.3 percent for Preoperative those at low risk. The study links age, obesity and degree questionnaire of illness with increased identifies occult postoperative complications. Study information notes obstructive sleep that OSAS may be more apnea syndrome. common among surgery patients, and anesthesia and pain relievers may exacerbate related cardiorespiratory consequences. According to the authors, “Central nervous system suppression owing to anesthesia, sedation and analgesia [pain relief] can foment sleep-disordered breathing and further asphyxia-related complications,” study information says. Make Good on Your Resolutions Buy them online w w w. a a c n . o r g / n e w y o u AACN BOLD VOICES JANUARY 2011 17

Table of Contents for the Digital Edition of Bold Voices - January 2011

Front/Digital Edition Viewing Guide
Another Angle
AACN Boards and Contact Information
New HHS-CCSC Awards Recognize HAI Reductions
Zero Tolerance for Preventable Incidents Involves Non-Surgical Specialties
Bold Voice: Chatting with MaryAnn Stump
Facebook Asthma?
EOL Care Rises for Heart Failure Patients on Medicare
More Patient, Family Contact Needed in EOL Care
Chronic Lung Disease of Prematurity Increases Respiratory Risk in Day Care
Childhood Obesity Linked to Viral Infections
Pharmaceutical Safety at Home
DTaP, Tdap: What's in a Name?
In Our Journals
STOP-BANG Helps Identify Surgical Patients at Risk
Fewer Blood Transfusions Can Improve Patient Safety, Reduce Costs
Certification Capsules
Dues, NTI and Certification Fees Will Not Increase
From the President

Bold Voices - January 2011