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Anesth Analg 2002;95:1098-1102
© 2002 International Anesthesia Research Society

GENERAL ARTICLES

Difficult Endotracheal Intubation in Patients with Sleep Apnea Syndrome

Mohammad A. Siyam, and Dan Benhamou

Département d’Anesthésie-Réanimation, Hôpital de Bicêtre, Assistance Publique-Hôpitaux de Paris, Bicêtre Cedex, France

Address correspondence and reprint requests to Dan Benhamou, Département d’Anesthésie-Réanimation, Hôpital de Bicêtre, 94275 Le Kremlin-Bicêtre Cedex, France. Address e-mail to dan.benhamou{at}bct.ap-hop-paris.fr

Although sleep apnea syndrome (SAS) is common, studies assessing the anesthetic management of these patients are rare and consist mainly of case studies. We performed a retrospective case-control study to determine the incidence of difficult intubation in SAS patients and to determine the relationship between the severity of SAS and the occurrence of difficult intubation. Among 113 patients included (36 and 77 in the SAS and control groups, respectively), difficult intubation occurred more often in SAS patients than in controls (21.9% versus 2.6%, respectively; P < 0.05). No relationship was found between the severity of SAS and the occurrence of difficult intubation. Disappointingly, no single factor was associated with the occurrence of difficult intubation in SAS patients. We conclude that SAS is a risk factor for difficult intubation.

IMPLICATIONS: Because patients with sleep apnea syndrome have an increased risk of difficult endotracheal intubation and may present with cardiovascular disease, preoperative preventive measures should be undertaken to avoid untoward events.




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F. Chung, B. Yegneswaran, F. Herrera, A. Shenderey, and C. M. Shapiro
Patients with Difficult Intubation May Need Referral to Sleep Clinics
Anesth. Analg., September 1, 2008; 107(3): 915 - 920.
[Abstract] [Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2002 by the International Anesthesia Research Society.