Banuchi (2014) (10)
USA
n = 40
|
PS: n = 20
NS + PS: n = 20
|
AHI:
Range 2.6-119
|
Mild or moderate OSA (ie AHI ≤ 30)
|
11/40 (27.5%)
|
DC: none
IP: none
|
Baugh (2013) (6)
USA
n = 452
|
NS: n = 232
(218 DC, 14 IP)
PS: n = 181
(155 DC, 26 IP)
NS + PS: n = 39 (31 DC, 8 IP)
|
Not reported
|
Not specified
|
404/452 (89.4%)
|
DC: none
IP: none
|
Hathaway (2006) (12)
USA
n = 110
|
PS: n = 80
(70 DC, 10 IP)
NS + PS: n = 30 (20 DC, 10 IP)
|
RDI: Average 35; Range 2 – 103
|
No postoperative desaturations
Adequate oral intake
No significant post-op nausea
|
90/110 (82%)
|
DC: none
IP: 3 desaturations (recovery)
|
Kandasamy (2013) (14)
Canada
n = 345
|
PS: n = 310
NS + PS: n = 35
|
AHI:
Mean 32.8; Range 2 - 128
|
Not specified
|
97/345 (28%)
|
DC: 5 (5.2%) desaturations (PACU)
IP:
39 (15.7%) desaturations (combination of PACU and ward)
1 laryngospasm
|
Kieff (2004) (15)
USA
n = 86
|
NS + PS: n = 86
|
RDI:
Mean 36.4;
Range 13 - 89
|
Saturations >94% on room air in recovery
No known COPD, CAD or diabetes
Adequate oral intake or analgesia
Stable vital signs
|
23/86 (26.7%)
|
DC: none
IP: Unclear as did not report proportion of patients who were admitted
due to desaturations
|
Pang (2012) (8)
Singapore
n = 487
|
NS + PS: n = 175
NS + PS + tongue surgery: n = 312
|
AHI:
Mean 47.3; Range 21.7 – 85.5
|
No concurrent tongue surgery
Patient preference
|
150/487 (30.8%)
|
DC: none
IP:
6 desaturations (recovery)
9 (1.8%) tongue swelling
1 upper airway obstruction due to floor of mouth haematoma
|
*# Rotenberg (2015) (16)
Canada
n = 50
|
NS: n = 20
PS: n = 36
Tongue surgery: n = 14
Multilevel surgery: n = 11
|
AHI:
Mean 24.4 +/- 12.2
|
Able and willing to wear CPAP if planned to do so
No witnessed apnoea or desaturations <90% on room air or
airway obstruction
No complex narcotic analgesia requirements
|
39/50 (78%)
|
DC: none
IP: 11 desaturations (PACU)
|
Spiegel (2005) (7)
USA
n = 117
|
Mixture of PS only, NS + PS and radiofrequency tongue base reduction -
numbers not specified
|
Not reported
|
Surgeons preference
All radiofrequency tongue base reduction was admitted
Incidence of early post-op complications
|
10/117 (8.5%)
|
DC: none
IP:
3 desaturations (1 in recovery, 2 on ward)
2 laryngospasms
|
Strocker (2008) (13)
USA
n = 40
|
PS: n = 38
NS + PS: n = 2
|
RDI/AHI: Range 5 – 99
|
Not specified
|
36/40 (90%)
|
DC: none
IP: none
|
# Terris (1998) (11)
USA
n = 109
|
NS: n = 16
PS: n = 73
NS + PS: n = 36
|
RDI:
Mean 37.7 +/- 11.8
|
Not specified
|
16/125 (12.8%)
|
DC: none
IP:
5 (4.6%) desaturations
1 significant airway compromise requiring naloxone, oxygen and airway
suctioning
|
Nasal surgery (NS); Palatopharyngeal surgery (PS); Day case (DC);
Inpatient (IP); Apnoea-Hypopnoea Index (AHI); Respiratory Disturbance
Index (RDI); Post-anaesthetic Care Unit (PACU); Coronary Artery Disease
(CAD); Chronic Obstructive Pulmonary Disease (COPD)
* Prospective observational study
# Authors reported more number of procedures than
total patients in the study
|
Nasal surgery (NS); Palatopharyngeal surgery (PS); Day case (DC);
Inpatient (IP); Apnoea-Hypopnoea Index (AHI); Respiratory Disturbance
Index (RDI); Post-anaesthetic Care Unit (PACU); Coronary Artery Disease
(CAD); Chronic Obstructive Pulmonary Disease (COPD)
* Prospective observational study
# Authors reported more number of procedures than
total patients in the study
|
Nasal surgery (NS); Palatopharyngeal surgery (PS); Day case (DC);
Inpatient (IP); Apnoea-Hypopnoea Index (AHI); Respiratory Disturbance
Index (RDI); Post-anaesthetic Care Unit (PACU); Coronary Artery Disease
(CAD); Chronic Obstructive Pulmonary Disease (COPD)
* Prospective observational study
# Authors reported more number of procedures than
total patients in the study
|
Nasal surgery (NS); Palatopharyngeal surgery (PS); Day case (DC);
Inpatient (IP); Apnoea-Hypopnoea Index (AHI); Respiratory Disturbance
Index (RDI); Post-anaesthetic Care Unit (PACU); Coronary Artery Disease
(CAD); Chronic Obstructive Pulmonary Disease (COPD)
* Prospective observational study
# Authors reported more number of procedures than
total patients in the study
|
Nasal surgery (NS); Palatopharyngeal surgery (PS); Day case (DC);
Inpatient (IP); Apnoea-Hypopnoea Index (AHI); Respiratory Disturbance
Index (RDI); Post-anaesthetic Care Unit (PACU); Coronary Artery Disease
(CAD); Chronic Obstructive Pulmonary Disease (COPD)
* Prospective observational study
# Authors reported more number of procedures than
total patients in the study
|
Nasal surgery (NS); Palatopharyngeal surgery (PS); Day case (DC);
Inpatient (IP); Apnoea-Hypopnoea Index (AHI); Respiratory Disturbance
Index (RDI); Post-anaesthetic Care Unit (PACU); Coronary Artery Disease
(CAD); Chronic Obstructive Pulmonary Disease (COPD)
* Prospective observational study
# Authors reported more number of procedures than
total patients in the study
|