Sleep Surgery Tool: A Medical Checklist to Review Prior to Operating

• Published in: Journal of cranio-maxillo-facial surgery Vol. 45; no. 3; pp. 381 - 386
• Main Authors: Camacho, Macario, MD, Riley, Robert W., MD, DDS, Capasso, Robson, MD, O’Connor, Peter, MD, OD, Chang, Edward T., MD, Reckley, Lauren K., MD, Guilleminault, Christian, MD
• Format: Journal Article
• Language: English
• Published: Scotland Elsevier Ltd 01-03-2017
• Subjects: Adult; Checklist; Comorbidity; Dentistry; Humans; Hypersomnia; Obstructive sleep apnea; Oral Surgical Procedures - standards; Preoperative Care; Sleep Apnea, Obstructive - surgery; Sleep medicine; Surgery; Systematic review; obstructive sleep apnea; hypersomnia; checklist; sleep medicine; systematic review; Checklist; Systematic review; Hypersomnia; Sleep medicine; Obstructive sleep apnea
• ISSN: 1010-5182; 1878-4119
• DOI: 10.1016/j.jcms.2017.01.001

Abstract Objective The objective of this study was to systematically review the international literature for studies providing a preoperative checklist for medical disorders to be evaluated or treated before performing sleep surgery. If no checklist exists, then the identified studies would be used to develop a checklist de novo. Study design Systematic review combined with expert opinion. Methods Four databases, including PubMed/Medline were searched through August 10, 2016. Results 453 potentially relevant studies were screened, 32 were downloaded for full review. No study included a preoperative checklist. No study provided guidance for specific medical disorders to evaluate or screen for prior to sleep surgery. Therefore, we reviewed articles in adults that provided recommendations such as: (1) labs to review, (2) non-operative disorders to evaluate and treat, and (3) comorbidities to optimize prior to performing sleep surgery. These articles were utilized in conjunction with expert opinion to develop a preoperative checklist for surgical guidance. Conclusion There are several items to review prior to performing sleep surgery on obstructive sleep apnea patients. This systematic review and expert opinion-based checklist provides over twenty items for reviewing prior to performing sleep surgery to reduce the chance of operating prematurely.