Skip to main content

Controversies in office-based anesthesia: obstructive sleep apnea considerations.

Publication ,  Journal Article
Gupta, R; Pyati, S
Published in: Minerva Anestesiol
September 2018

As the number of procedures being performed in the office-based anesthesia (OBA) setting are increasing, so are the number of patients presenting for surgery with obstructive sleep apnea (OSA). There continues to be controversy regarding whether these patients can be safely cared for in the OBA setting. To date, no national guideline has clearly addressed this issue and while some have extrapolated lessons from what has been published for OSA in the ambulatory surgery center (ASC) setting, some argue that there is a significant difference in the availability of resources in the ASC versus the OBA setting. Those opposing OSA patients for OBA setting point to the prevalence of "practice drift," and no federal oversight as overarching reasons why the OBA is not an appropriate setting. Proponents of the OBA setting argue that a well-equipped OBA can have similar resources, and therefore similar outcomes, as an OR in the ASC setting. In this paper we explore the divergent views on this topic and present some recommendations based on best evidence.

Duke Scholars

Published In

Minerva Anestesiol

DOI

EISSN

1827-1596

Publication Date

September 2018

Volume

84

Issue

9

Start / End Page

1102 / 1107

Location

Italy

Related Subject Headings

  • Sleep Apnea, Obstructive
  • Risk Factors
  • Humans
  • Forecasting
  • Contraindications, Procedure
  • Anesthesiology
  • Anesthesia
  • Ambulatory Surgical Procedures
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Gupta, R., & Pyati, S. (2018). Controversies in office-based anesthesia: obstructive sleep apnea considerations. Minerva Anestesiol, 84(9), 1102–1107. https://doi.org/10.23736/S0375-9393.18.12628-9
Gupta, Ruchir, and Srinivas Pyati. “Controversies in office-based anesthesia: obstructive sleep apnea considerations.Minerva Anestesiol 84, no. 9 (September 2018): 1102–7. https://doi.org/10.23736/S0375-9393.18.12628-9.
Gupta R, Pyati S. Controversies in office-based anesthesia: obstructive sleep apnea considerations. Minerva Anestesiol. 2018 Sep;84(9):1102–7.
Gupta, Ruchir, and Srinivas Pyati. “Controversies in office-based anesthesia: obstructive sleep apnea considerations.Minerva Anestesiol, vol. 84, no. 9, Sept. 2018, pp. 1102–07. Pubmed, doi:10.23736/S0375-9393.18.12628-9.
Gupta R, Pyati S. Controversies in office-based anesthesia: obstructive sleep apnea considerations. Minerva Anestesiol. 2018 Sep;84(9):1102–1107.

Published In

Minerva Anestesiol

DOI

EISSN

1827-1596

Publication Date

September 2018

Volume

84

Issue

9

Start / End Page

1102 / 1107

Location

Italy

Related Subject Headings

  • Sleep Apnea, Obstructive
  • Risk Factors
  • Humans
  • Forecasting
  • Contraindications, Procedure
  • Anesthesiology
  • Anesthesia
  • Ambulatory Surgical Procedures
  • 3202 Clinical sciences