RestedGal, THIS ONE's FOR U!

SleepyNoMore · Post by **SleepyNoMore** » Thu Nov 29, 2007 10:17 pm

How are you ? I showed my husband the post you left for me regarding his possible SLEEP APNEA -"SleepyNoMore, get all the LIFE INS. YOU can possibly get on your HUSBAND", etc. (cracked me up) but kinda put the scare to him! ! He had a Doctor's appointment (as he needs a hip replacement) last week while I went for my surgery & recovering process, he stayed home all week to take care of me. I told him to tell him Doctor about how he stops breathing & he DID! The Doctor ( Mike's primary Doctor) sent a lady to our house Monday of this week from A Pulmonary Place and left a machine to do a home " Pulse Oximetry " and she said it tested " POSOTIVE " for Apnea Events ! Well, what do ya no! I've been telling him that for over a year now ! And, thank's to your STRAIGHT FORWARD post, he is set up for next friday, Dec.7 th. to go to the sleep lab for an overnight sleep study with titration, YES!!! . He is worried about me being here but I told him I have 2 dogs inside and........ so he got ok with the idea of leaving me alone but then went on to say I need to go with him and sleep in the same bed just to know I was there would help him to sleep and not stress . I told him, that's not allowed, it's not your local MOTEL , awwwww he'll be ok! I just pray he can sleep to show the TRUE RESULTS! So once again, "THANK YOU" RESTEDGAL for the STRAIGHT FORWARDNESS you posted to me regarding him! Your Great! Sleep Tight [/b]

ozij · Post by **ozij** » Thu Nov 29, 2007 11:12 pm

You are both very lucky -

http://www.mayoclinicproceedings.com/in ... =1268&UID=

Postoperative Complications in Patients With Obstructive Sleep Apnea Syndrome Undergoing Hip or Knee Replacement: A Case-Control Study
RAKESH M. GUPTA, MD; JAVAD PARVIZI, MD; ARLEN D. HANSSEN, MD; PETER C. GAY, MD

Complications

Table 2 shows the number of episodes of different types of complications encountered in OSAS patients and compares the incidence of the same complications with the control group. No significant difference in the incidence of comorbidities was evident between the control patients and those with the diagnosis of OSAS (P=.38). The incidence of procedure-specific complications, as outlined in Table 2, showed no significant difference. The overall incidence of other postoperative complications was significantly higher in the OSAS patients compared with the control patients (P=.001). Two patients in the OSAS group required reintubation for severe hypercapnia that was noted in the postanesthesia recovery room. No patient in the control group required reintubation. In addition, a significantly higher percentage of patients with OSAS suffered serious complications (P=.004) or needed unplanned ICU transfers (P=.003) compared with the control patients (Table 3). Furthermore, data subanalysis revealed that the incidence of serious complications (P=.02) and unplanned ICU transfers (P=.003) were also significantly higher in patients with OSAS who were not using home CPAP compared with patients with OSAS who were using CPAP at home (Table 3).
<snip>
We evaluated the impact of severity of OSAS (for patients with PSG, n=84) as measured by the absolute value of RDI on the incidence of postoperative complications. We did not detect any association between the severity of OSAS and the incidence of postoperative complications. Furthermore, the mean value of total RDI was not significantly different between patients who developed complications (RDI=50.0±28.3; supine RDI=63.7±39. and those who did not (RDI=39.0±30.0; supine RDI=69.5±42.3). Interestingly, in group 1B, patients not using home CPAP had milder OSAS severity by the reference PSG compared with those using home CPAP (RDI=24.0±15.5 vs RDI=53.0±33.8; P<.001), yet the former patients had worse outcomes
<snip>

My empahsis.

The bottom line: he should get his cpap, get used it before the operation. and take it along for use during the first night - when most complications occur.

O.

rested gal · Post by **rested gal** » Thu Nov 29, 2007 11:55 pm

Glad to hear you convinced him, sleepynomore. You did it.

You two are gonna be a happy two-cpap family, and live to enjoy each other's company a long, long time.

That's great info ozij found. wow.