@article{d104a8562da1461ea6d8bba77bb8ff9f,
title = "Knowledge gaps in the perioperative management of adults with obstructive sleep apnea and obesity hypoventilation syndrome an official American Thoracic society workshop report",
abstract = "The purpose of this workshop was to identify knowledge gaps in the perioperative management of obstructive sleep apnea (OSA) and obesity hypoventilation syndrome (OHS). A single-day meeting was held at the American Thoracic Society Conference in May, 2016, with representation from many specialties, including anesthesiology, perioperative medicine, sleep, and respiratory medicine. Further research is urgently needed as we look to improve health outcomes for these patients and reduce health care costs. There is currently insufficient evidence to guide screening and optimization of OSA and OHS in the perioperative setting to achieve these objectives. Patients who are at greatest risk of respiratory or cardiac complications related to OSA and OHS are not well defined, and the effectiveness of monitoring and other interventions remains to be determined. Centers involved in sleep research need to develop collaborative networks to allow multicenter studies to address the knowledge gaps identified below.",
keywords = "Obesity hypoventilation syndrome, Obstructive sleep apnea, Perioperative care, Postoperative complications, Risk assessment",
author = "Ayas, {Najib T.} and Laratta, {Cheryl R.} and Coleman, {John M.} and Doufas, {Anthony G.} and Matthias Eikermann and Gay, {Peter C.} and Gottlieb, {Daniel J.} and Indira Gurubhagavatula and Hillman, {David R.} and Roop Kaw and Atul Malhotra and Babak Mokhlesi and Morgenthaler, {Timothy I.} and Sairam Parthasarathy and Ramachandran, {Satya Krishna} and Strohl, {Kingman P.} and Strollo, {Patrick J.} and Twery, {Michael J.} and Zee, {Phyllis C.} and Chung, {Frances F.}",
note = "Funding Information: This single-day workshop was held on May 13, 2016 at the American Thoracic Society Conference in San Francisco, California. The workshop was chaired by N. Ayas and F. Chung, hereafter referred to as the Chairs. The structure of this workshop report was conceived as an initiative to complement the recently published SASM guidelines (1). The Chairs brought together researchers from anesthesia, sleep medicine, and respirology to identify the limitations of the current evidence, important areas for further research, and strategies to overcome barriers to research in patients with OSA. The workshop was funded by the American Thoracic Society without additional industry or other funding. Conflict of interest statements were reviewed by the Chairs to ensure that significant bias could be avoided. Funding Information: Author disclosures: N.T.A. served on an advisory committee for Bresotec. F.F.C. received research support from Acacia and Medtronic; received research support from the ResMed Foundation to develop the STOP-Bang questionnaire which is proprietary to University Health Network. M.E. served on an advisory committee and served as a speaker for Merck; owns stocks, stock options or other ownerships interests in Calabash Biotechnology. D.R.H. received research support from Nyxoah, Oventus and ResMed; served on an advisory committee for Sommetrics. B.M. served on an advisory committee for Itamar Medical; received research support from Philips Respironics; served as a speaker for Zephyr Medical Technologies; served as an expert witness in medical malpractice lawsuits for Roetzel and Andress Law Firm. S.P. served as an author for UpToDate; received research support from Niveus Medical Inc., Philips Respironics and Younes Sleep Technologies; served as a speaker for Merck; served on an advisory committee for Bayer; served as a consultant for Nightbalance; received honorarium from Philips Respironics; received honorarium and travel support from Vapotherm; holds a patent for a home-based heliox system with carbon dioxide removal. S.K.R. received research support from Merck; served on an advisory committee for Medtronic. K.P.S. served as a speaker for and received research support from Inspire Medical Systems; served on an advisory committee for Sommetrics. P.J.S. received research support from Inspire Medical Systems and PinMed; served as a consultant for Itamar Medical, ResMed and Separation Design Group; served on an advisory committee and received research support from Jazz Pharmaceuticals; served on the general medical committee for the National Football League; reviewed educational videos for EMMI. P.C.Z. served as a consultant for Sanofi; served on an advisory committee for Aptalis Pharma and Pernix Therapeutics; received research support from Technogel and X (a division of Alphabet, Inc.); served as a consultant and on an advisory committee for Merck; served as a consultant and received research support from Eisai and Jazz Pharmaceuticals; served as a consultant, on an advisory committee and received research support from Philips Respironics and Vanda Pharmaceuticals; owns stocks, stock options or other ownerships interests in Teva Pharmaceuticals; has the following patents pending U.S. Serial Nos. 62/038,700 & PCT/ US2015/045273 (phase-locked loop to enhance slow wave sleep) and U.S. Serial No: 62/515,361. J.M.C., A.G.D., P.C.G., D.J.G., I.G., R.K., C.R.L., A.M., T.I.M., M.J.T. reported no relationships with relevant commercial interests. Publisher Copyright: {\textcopyright} Copyright 2018 by the American Thoracic Society.",
year = "2018",
month = feb,
doi = "10.1513/AnnalsATS.201711-888WS",
language = "English (US)",
volume = "15",
pages = "117--126",
journal = "Annals of the American Thoracic Society",
issn = "2325-6621",
publisher = "American Thoracic Society",
number = "2",
}
