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SAGE Neuroscience and Neurology

By SAGE Publications Ltd.

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Description

Welcome to the official free Podcast site from SAGE for Neuroscience & Neurology. SAGE is a leading international publisher of journals, books, and electronic media for academic, educational, and professional markets with principal offices in Los Angeles, London, New Delhi, and Singapore.

Customer Reviews

Prevalence & Patient Outcomes in Post-Op Spine OSA Patients

I wholeheartedly agree with Dr. Andrew Chung’s recommendations that practitioners need to assess in the pre-op app’t if the patient has OSA and the importance of documenting this information in the patient’s record for access by the surgeon & anesthesiologist in the immediate pre-op period. Patients also need to be responsible in assuring that this information is given to the physicians in the surgical team when they approach the patients pre-operatively. If the patient has a CPAP or BiPAP, they need to bring the machine and mask and tubing(not just the mask and tubing)with them to the hospital. Respiratory therapy departments don’t always have a machine available.

As a nurse with OSA & CSA and many co-morbidities, I speak with the anesthesiologist preoperatively & I tell them I want a continuous oxygen sat monitor postoperatively, especially if a narcotic basal rate infusion is prescribed.

I took care of a patient after my shift, and the patient had died while sleeping. The patient had had a second rotator cuff repair with a morphine basal rate infusing & oxygen had been dc’d after oxygen sat checks while on room air had met criteria. The patient had OSA & he did not tell the anesthesiologist preoperatively that he had OSA. The patient had told him prior to the first rotator cuff surgery but not the second. Why weren’t his old records reviewed and why wasn’t he asked by medical personnel preoperatively if he had this condition? I assure you that that practice of preoperative assessment of OSA in that hospital began after this incident. The family sued, and they settled out of court. These “more than poor” patient outcomes can be prevented.

Thank you for this podcast.