Akademik Veri Yönetim Sistemi
Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi, cilt.26, sa.1, ss.35-45, 2019 (Hakemli Dergi)
ObjectiveObstructive sleep apnea (OSA) patients often present with various complications during extubation. This retrospective study investigated the frequenciesof various complications during extubation and theirassociations with postextubation/postoperative complications in OSA surgery cases.Material and MethodsThis study comprised 22 OSA patients admitted to the otolaryngology clinic of Mustafa Kemal University Hospital, Turkey. The patients underwent uvulopharyngoplasty alone or with other OSA-related procedures between October 2011 and December 2013. We reviewed the literature on the management of OSAsurgery cases, the related characteristics of OSA and patients with OSA, and the type and frequency of the complications associated with OSA surgery. The collected data were verified by contacting the patients and their relatives. The chief complications seen during and after extubation in the OSA surgery cases, as well as the relationship between these complications, were investigated.ResultsHypertension was the most frequent extubation complication (31.8%). The most frequent postoperative complications were hemoglobin oxygen desaturation (18.2%) and difficulty swallowing (13.6%). Significant associations (P < 0.05) were noted between the following complications during extubation and postoperatively: upper airway obstruction and delirium/difficulty swallowing, respectively; cough and delirium/ desaturation, respectively; laryngomalacia–pulmonary aspiration and reintubation, respectively; hypertension and desaturation, respectively; tachycardiaand desaturation, respectively; and dysrhythmia and delirium/unexpected need for intensive care unit admission/desaturation, respectively.ConclusionExtubation complications can be used to predict postoperative complications. Furthermore, patients exhibiting dysrhythmia at extubation should be monitoredclosely.