Anesthetic considerations of parturients with obesity and obstructive sleep apnea

Saravanan P Ankichetty, Pam Angle, Anita Shirley Joselyn, Vinod Chinnappa, Stephen Halpern, Saravanan P Ankichetty, Pam Angle, Anita Shirley Joselyn, Vinod Chinnappa, Stephen Halpern

Abstract

Obstructive sleep apnea (OSA) is characterized by upper airway collapse and obstruction during sleep. It is estimated to affect nearly 5% of the general female population. Obesity is often associated with OSA. The physiological changes associated with pregnancy may increase the severity of OSA with a higher risk of maternal and fetal morbidity. However, very few parturients are diagnosed during pregnancy. These undiagnosed parturients pose great challenge to the attending anaesthesiologist during the perioperative period. Parturients at risk should be screened for OSA, and if diagnosed, treated. This review describes the anaesthetic concerns in obese parturients at risk for OSA presenting to the labor and delivery unit.

Keywords: Obesity; obstructive sleep apnea management; perioperative period; pregnancy.

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Hormonal changes during pregnancy in obese parturients predisposing them to Obstructive sleep apnea
Figure 2
Figure 2
Flowchart showing perioperative care of Obstructive sleep apnea parturient
Figure 3
Figure 3
Perioperative anesthetic management of the parturient with obstructive sleep apnea

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