Obstructive sleep apnea increases the risk of anesthesia
Obstructive sleep apnea is consistently shown to increase the risk of perioperative complications, difficult airway management, and adverse respiratory events during anesthesia and surgery.
The retrieved papers uniformly support the claim that obstructive sleep apnea increases surgical and anesthetic risks, specifically elevating rates of perioperative complications, respiratory depression, and adverse postoperative outcomes. There is no evidence refuting this consensus.
Chen W, Li L, Peng J, Wang C, Gao G, Dong Z. Explainable Machine-Learning Model for Predicting Severe Obstructive Sleep Apnea in Patients Undergoing Metabolic Bariatric Surgery.. 2026. https://doi.org/10.1007/s11695-026-08831-x
Paper 0 establishes that severe obstructive sleep apnea is associated with increased perioperative complications in bariatric surgery patients.
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Roesslein M, Ortiz-Lucas P, Buerkle H, Loop T, Semmelmann A. Obstructive sleep apnea (OSA) screening and risk of postoperative complications in adult surgical patients: differences between the STOP-Bang and Step-2 scoring strategy.. 2026. https://doi.org/10.1186/s12871-026-03900-1
Paper 1 finds that patients at high risk for obstructive sleep apnea have a significantly increased risk of major postoperative complications and prolonged hospital stays.
Cappellano K, Dyer B, Shargo R, Jalil T, Hodgson J, DuCoin C, Camporesi E. Associations Between Opioid Timing and Postoperative Desaturation Burden Following Metabolic Bariatric Surgery.. 2026. https://doi.org/10.1007/s11695-026-08814-y
Paper 2 identifies obstructive sleep apnea as a key contributor to opioid-induced respiratory depression and postoperative oxygen desaturation.
Percy S, Quinlan CA, Murto K, Franz A, Strupp K. Error Traps in Pediatric Adenotonsillectomy: Clinical Patterns, Cognitive Pitfalls, and Evidence-Informed Mitigation Strategies.. 2026. https://doi.org/10.1002/pan.70176
Paper 3 notes that unrecognized obstructive sleep apnea markedly increases perioperative respiratory adverse events in pediatric surgeries.
Gharib C, Kim C, Ling J, Varma M. Obstructive Sleep Apnea in Critically Ill Patients: A Structured Narrative Review of Prevalence, Diagnostic Barriers, and Clinical Implications in the ICU.. 2026. https://doi.org/10.3390/clockssleep8020027
Paper 4 associates obstructive sleep apnea with higher perioperative complication and extubation failure rates in critically ill patients.
Alhamdah Y, Yan E, Kapoor P, Saripella A, Butris N, He D, Lovblom LE, Islam S, Wong J, Chung F. Obstructive Sleep Apnea and Cognitive Impairment: Implications for Surgical Outcomes.. 2026. https://doi.org/10.1111/jsr.70390
Paper 6 demonstrates that coexisting obstructive sleep apnea and cognitive impairment double the odds of 30-day postoperative complications.
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