A critical appraisal of perioperative sleep apnoea management after nasal surgery: A review of up-to-date literature supplemented by findings of a retrospective observational study

TL;DR

This study examines the management of sleep apnoea after nasal surgery and finds few serious breathing issues, suggesting cheaper alternatives to standard care.

Contribution

The study provides new evidence on the low risk of respiratory events in sleep apnoea patients after nasal surgery.

Findings

Only 8% of patients experienced decreased oxygen saturation after surgery.

Five patients required supplemental oxygen, but no other major incidents occurred.

The study suggests less costly postoperative monitoring options may be safe.

Abstract

To review the current recommendations on postoperative precautions for obstructive sleep apnoea patients undergoing elective nasal surgery.

Retrospective cohort study.

Department of Otorhinolaryngology and Anesthesiology/Intensive Care, University Teaching Hospital, Rotterdam, the Netherlands.

The medical charts of 61 patients with sleep apnoea who were admitted to the post-anaesthesia care unit between 2016 and 2020, following nasal surgery were reviewed.

Number of respiratory events during post-anaesthesia care unit admission that required medical intervention.

In all 61 patients, continuous positive airway pressure could not be used. In 13 patients (8%), decreased oxygen saturation levels were registered during the first postoperative night, and in five of these patients, supplemental oxygen was needed. No other respiratory incidents of medical interventions were registered.

The number of clinically relevant respiratory events of obstructive sleep apnoea patients with bilateral nasal packing following nasal surgery is low. We suggest that the safety of less expensive and less scarce alternatives of postoperative observation should be explored.

Figures