14. Surgery and Sleep Apnea: An Unexpected Hurdle
When we think about surgeries, sleep apnea is probably the last thing on our minds. However, sleep apnea poses unique challenges during surgical procedures, especially those that involve anesthesia. It’s more than just an inconvenience; it’s a significant clinical concern.
General anesthesia generally involves ventilatory support, essentially taking over the patient’s breathing. For those with sleep apnea, this presents unique challenges. Their already compromised airways can make it difficult to secure ventilation, complicating the surgical process.
Moreover, anesthesia itself can affect muscle tone. Given that reduced muscle tone in the airway is a significant issue in sleep apnea, anesthesia can exacerbate the condition, potentially leading to critical situations during surgery.
Pain medications used post-surgery also come into play. Opioids, commonly used for pain relief, have a sedative effect that can worsen sleep apnea symptoms. This can make the post-operative period particularly challenging for both patients and healthcare providers.(14)