A Simple Way to Screen for Sleep Apnea

Use this acronym to create a sleep apnea questionnaire:

S Do you snore loudly?
Do you often feel tired, fatigued or sleepy during the day?
Has anyone observed you stop breathing while sleeping?
P Have you been or are you being treated for hypertension?
BMI>35kg/m2
A Age >50
N Neck circumfrence >40cm
G Male Gender

 If they answered yes to 3 or more they are at high risk for obstructive sleep apnea (OSA).

What do to?

  • If using MAC be sure to use capnogragphy.
  • Extubate patients only in non supine positions after meeting strict extubation criteria.
  • Consider opiod sparing pain management such as NSAIDs.
  • Use regional anesthesia if reasonable.
  • The facility must be prepared with difficult airway equipment in case of emergent/difficult intubation.

Source: Outpatient Surgery Magazine