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Postoperative Pain Control by Means of Epidural Narcotics in a Patient with Obstructive Sleep Apnea

Received from the Departments of Anesthesiology and Internal Medicine, Attending Surgical Intensive Care Unit, Temple University Health Sciences Center, Philadelphia, Pennsylvania.

Abstract

Airway obstruction has been reported in patients with sleep apnea after preoperative medication with parenteral diazepam or morphine (1). Presumably, the use of parenteral narcotics for pain control in the postoperative period would also increase the risk of airway obstruction in these patients. We describe the use of epidural narcotics for postoperative pain control in a patient with obstructive sleep apnea.

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999