Anesthesiologist detect apnea?

[greatunclebill]

My wife had to have a procedure to close a hole between heart chambers. the hole was found thru investigating a heart murmur. they seal the hole by going thru both sides of the groin up into both sides of the heart. the cardiologist told her that her breathing was stopping during the procedure and to see the sleep doctor. as expected, she joined the ranks of us hose heads.

I wish her many good years on the hose with you by her side! Jim

Thank you very much. That's the plan. Dueling Hose heads forever.

[RobertS975]

As a gastroenterologist, I have had thousands of patients under sedation for GI procedures. Many of them would shows signs of obstructive apnea while sedated. I would dictate the possibility of obstructive sleep apnea into my note to the PCP as well as inform the patient of the possibility of OSA once they were ready for discharge. Snoring under heavy sedation is not diagnostic, but surely suggestive.

[jnk...]

As a gastroenterologist, I have had thousands of patients under sedation for GI procedures. Many of them would shows signs of obstructive apnea while sedated. I would dictate the possibility of obstructive sleep apnea into my note to the PCP as well as inform the patient of the possibility of OSA once they were ready for discharge. Snoring under heavy sedation is not diagnostic, but surely suggestive.

Good work, sir. The world needs more like you.

[Margaretm]

They should, if they are really doing their job, not sitting reading a book or joking with the OR staff. Jim

If they are just waiting for the montor to go crazy, not so much.

I found out about mine from my heart By-pass, took them 20 minites in the OR to tube me/

Was it the apnea that made it so hard to intubate you?

[Julie]

Margaret - look at your other post and my note there.

[Goofproof]

They should, if they are really doing their job, not sitting reading a book or joking with the OR staff. Jim

If they are just waiting for the montor to go crazy, not so much.

I found out about mine from my heart By-pass, took them 20 minites in the OR to tube me/

Was it the apnea that made it so hard to intubate you?

Don't know it was after the OP, I was out of it for a while. I think it probably was as the cure was to use XPAP. Jim

I made it a point to start XPAP as soon as my body could take it. Never had the option not to use it, it was use it or die.

[Margaretm]

They should, if they are really doing their job, not sitting reading a book or joking with the OR staff. Jim

If they are just waiting for the montor to go crazy, not so much.

I found out about mine from my heart By-pass, took them 20 minites in the OR to tube me/

Was it the apnea that made it so hard to intubate you?

Don't know it was after the OP, I was out of it for a while. I think it probably was as the cure was to use XPAP. Jim

I made it a point to start XPAP as soon as my body could take it. Never had the option not to use it, it was use it or die.

What is XPAP?

[Goofproof]

Term that covers all kinds of PAP machines, CPAP,APAP, BPAP Ect. Jim

[Holden4th]

Thinking about my bypass operation it might be hard for an anaesthetist to accurately diagnose OSA.

I've got a mask on my face for the initial part of the operation which is giving me a steady stream of treated air, much like an APAP with oxygen attached. Once they've sprung my chest open my vascular system is now connected to a machine and my lungs are collapsed. Once everything is put back in place I have a breathing tube down my throat which is only removed once I look like I'm regaining consciousness. I'm then placed in a bed with the head raised quite high.

Interestingly, my OSA was only picked up after my bypass. I felt a lot better fatigue wise before the procedure. I'm not sure why this is the case but I'd been told well before this that my snoring was extreme.

[Krelvin]

Years ago when going through an Angiogram/Angioplasty which took some time, the person monitoring my vitals kept telling me to wake up. Other than some mild vicodin or something like that I was away for the procedure so they can get me to do things like hold my breath etc.. but I kept dozing off.

Finally, the heart specialist said something like just let him sleep, we will wake him up when needed. The monitor say the issue was every time I fell asleep my O2 level dropped like a rock.

The heart specialized leaned over and said, free test, you have sleep Apnea. It took me several years before I looked into it further. I had to fight my primary to get the test and I'm glad I did.

[chunkyfrog]

. . . I had to fight my primary to get the test and I'm glad I did.

By any chance, were you in an HMO?
---or that your doctor was just stupid.
Been there, more than once. Rather than fight, I simply changed doctors.
In a town large enough, this can be an option.

[Bertha deBlues]

. . . I had to fight my primary to get the test and I'm glad I did.

By any chance, were you in an HMO?
---or that your doctor was just stupid.
Been there, more than once. Rather than fight, I simply changed doctors.
In a town large enough, this can be an option.

Years ago, my coverage was through an HMO that made it very difficult to receive treatment. I even had to get approval to go to an emergency room when I was swelling up from an allergic reaction to an antibiotic. Thankfully, I now have a Medicare advantage plan that provides much better coverage. I'm quite satisfied with it.

[luvsbluberries]

Years ago, my coverage was through an HMO that made it very difficult to receive treatment. I even had to get approval to go to an emergency room when I was swelling up from an allergic reaction to an antibiotic. Thankfully, I now have a Medicare advantage plan that provides much better coverage. I'm quite satisfied with it.

Sorry to be off-topic, but good grief! That is shocking to hear of someone having to get approval before being seen for an emergency (potentially) life-threatening situation. I feel quite distressed on your behalf. So glad you made it through.

[Bertha deBlues]

Years ago, my coverage was through an HMO that made it very difficult to receive treatment. I even had to get approval to go to an emergency room when I was swelling up from an allergic reaction to an antibiotic. Thankfully, I now have a Medicare advantage plan that provides much better coverage. I'm quite satisfied with it.

Sorry to be off-topic, but good grief! That is shocking to hear of someone having to get approval before being seen for an emergency (potentially) life-threatening situation. I feel quite distressed on your behalf. So glad you made it through.

Thanks, luvsbluberries. I should have just gone to the ER and argued with the HMO later. Anyway, back to the topic. . .