Patients with obstructive sleep apnea (OSA) may present significant problems in the perioperative period, including difficult airways, sensitivity to anesthetic agents, and postoperative adverse events. This 8 page monograph is an assimilation of material presented at the Challenges in the Perioperative Management of OSA Patients symposium, held in October 2010, and is designed to provide practical solutions and strategies for the perioperative care of patients with OSA. Additional contributions have been made by course faculty, and references to recent publications regarding OSA practice guidelines have been included.
This activity is designed for anesthesiologists, surgeons, physicians, nurse practitioners, certified nurse anesthetists, anesthesia assistants, respiratory therapists, and other healthcare providers interested in the perioperative care of patients with obstructive sleep apnea.
Method of Participation
The estimated time to complete this activity is 1.5 hours. To obtain credit, participants should register for the activity, take the online pretest, read the monograph, answer the multiple-choice posttest questions, and complete the evaluation form online to receive a certificate online immediately upon completion. Adobe Reader is required to view this monograph, and can be downloaded at http://get.adobe.com/reader.
Following completion of this educational activity, learners should be able to:
Statement of Need
OSA is the most prevalent sleep disorder in the adult population. Current estimates suggest that moderately severe OSA is present in approximately 11.4% of men and 4.7% of women. The prevalence of OSA is higher in patients presenting for surgery than in the general population, and a significant proportion of OSA patients remain undiagnosed when they present for surgery. This is of concern to the perioperative physician, as OSA has been associated with increased perioperative risk and postoperative complications.
The University of California, San Diego School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
AMA: The University of California, San Diego School of Medicine designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
BRN: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credits™ issued by organizations accredited by the ACCME. For the purpose of relicensure, the California Board of Registered Nursing accepts AMA PRA Category 1 Credits™ (report up to 1.5 hours of credit and list “CME Category 1” as the provider number).
This activity was planned in collaboration with the University of Toronto.
Release Date: April 26, 2011
Frances Chung, MBBS
Jonathan L. Benumof, MD
Daniel Davis, MD
Thomas Ebert, MD
Matthias Eikermann, MD
Peter C. Gay, MD
David Hillman, MBBS, FANZCA, FRCP(Edin), FRACP(Hon)
Shiroh Isono, MD
Frank Overdyk, MD
Angela Felker, MA
Balance and Objectivity of Content
It is the policy of the University of California, San Diego School of Medicine to ensure balance, independence, objectivity and scientific rigor. All persons involved in the selection, development and presentation of content are required to disclose any real or apparent conflicts of interest. All conflicts of interest will be resolved prior to an educational activity being delivered to learners through one of the following mechanisms 1) altering the financial relationship with the commercial interest, 2) altering the individual’s control over CME content about the products or services of the commercial interest, and/or 3) validating the activity content through independent peer review. All persons are also required to disclose any discussions of off label/unapproved uses of drugs or devices. Persons who refuse or fail to disclose are disqualified from participating in the CME activity. Participants will be asked to evaluate whether the speaker’s outside interests reflect a possible bias in the planning or presentation of the activity. This information is used to plan future activities.
The faculty have reported the following relevant financial relationships:
Frances Chung, MBBS: Research grants from the ResMed Foundation and the Respironic Foundation
The following faculty indicated they have no financial relationships with commercial interests relevant to the content of this activity:
Jonathan Benumof, MD
The CME staff, meeting planners, editorial staff, planning committee, and CME committee reviewers do not have any relevant financial relationships to disclose.
This educational activity may contain discussion of unlabeled and/or investigational uses of agents that are not approved by the FDA. Please consult the prescribing information for each product.
The views and opinions expressed in this activity are those of the faculty and do not necessarily reflect the views of the University of California, San Diego.
This activity is in compliance with California Assembly Bill 1195 which requires CME courses with patient care components to include curriculum in the subjects of cultural and linguistic competencies. Cultural competency is defined as a set of integrated attitudes, knowledge, and skills that enables health care professionals or organizations to care effectively for patients from diverse cultures, groups, and communities. Linguistic competency is defined as the ability of a physician or surgeon to provide patients who do not speak English or who have limited ability to speak English, direct communication in the patient’s primary language. Cultural and Linguistic Competency was incorporated into the planning of this activity. Additional resources on cultural and linguistic competency and information about AB1195 can be found on the UC San Diego CME website at http://cme.ucsd.edu.
This activity was supported by educational grants provided by: