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Author Topic: Urgent Message for Sleep apnea people having surgery...MUST READ THIS  (Read 1528 times)

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Offline Jeffreyj

  • Member
  • Posts: 1,403
I went to have surgery this Wednesday. The nurse was asking me last minute questions.
She had even put in the I.V. I was ready to go.
The surgeon came in and asked me if I had sleep Apnea.
I said yes but I never got the Air Machine that they recommended to go with it.

"I have to cancel this surgery, I'm very sorry."

I was shocked!
"Why" I asked.

Two men had sleep apnea and the both died the night of their procedures. We are guessing the combination of pain meds and the sleep apnea may have caused their deaths."
I still can't believe what I heard.

So I called my DR. and it's off to the sleep center. (Wonder if Micheal Jackson had Sleep apnea?)
I thought this was important info to share with all of you!
« Last Edit: October 02, 2009, 03:46:03 PM by Jeffreyj »
Positive since 1985

Offline Grinch

  • Member
  • Posts: 325
Re: Urgent Message for Sleep apnea people having surgery...MUST READ THIS
« Reply #1 on: October 02, 2009, 09:48:44 PM »
Sleep apnea combined with pain meds administered via PCA pump (The machine that gives a dose of pain med when you push a button) has become a severe problem.  PCA usage has increased in recent years due to staffing cuts and patient expectation.

Unfortunately the practice of measuring SPO2 (The amount of oxygen in your blood) is not a good method of avoiding this. 

My hospital has just spent several million dollars purchasing new pumps that measure PCO2 (CO2 in your blood) and disable the pump at preset limits.  We've already had several "negative patient out comes" avoided by this monitoring.   Many patients either don't know they have sleep apnea or are less than forth coming when asked.

Ortho proceedures seem to be highly problematic due to the meds used.

Physicians are understandably reluctant to perform elective procedures on patients that have not had suspected sleep apnea tested and addressed with CPAP.

Offline David_CA

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  • Posts: 3,246
  • Joined: March 2006
Re: Urgent Message for Sleep apnea people having surgery...MUST READ THIS
« Reply #2 on: October 03, 2009, 10:31:45 PM »
That surgery sounds nasty anyway; it would be a distant second choice to CPAP for me.  Besides, CPAP machines have a greater success ratio than the surgery.  I'd go ahead and see if you can get the machine.
Black Friday 03-03-2006
03-23-06 CD4 359 @27.4% VL 75,938
06-01-06 CD4 462 @24.3% VL > 100,000
08-15-06 CD4 388 @22.8% VL >  "
10-21-06 CD4 285 @21.9% VL >  "
  Atripla started 12-01-2006
01-08-07 CD4 429 @26.8% VL 1872!
05-08-07 CD4 478 @28.1% VL 740
08-03-07 CD4 509 @31.8% VL 370
11-06-07 CD4 570 @30.0% VL 140
02-21-08 CD4 648 @32.4% VL 600
05-19-08 CD4 695 @33.1% VL < 48 undetectable!
08-21-08 CD4 725 @34.5%
11-11-08 CD4 672 @39.5%
02-11-09 CD4 773 @36.8%
05-11-09 CD4 615 @36.2%
08-19-09 CD4 770 @38.5%
11-19-09 CD4 944 @33.7%
02-17-10 CD4 678 @39.9%  
06-03-10 CD4 768 @34.9%
09-21-10 CD4 685 @40.3%
01-10-11 CD4 908 @36.3%
05-23-11 CD4 846 @36.8% VL 80
02-13-12 CD4 911 @41.4% VL<20
You must be the change you want to see in the world.  Mahatma Gandhi

Offline AboutToStart

  • Member
  • Posts: 134
Re: Urgent Message for Sleep apnea people having surgery...MUST READ THIS
« Reply #3 on: October 04, 2009, 07:03:02 PM »
I chose to have the surgery 6 months ago. I tried the sleeping machine (CPAP) for 3 months and did pretty good with it as far as quality of sleep, but I hated the dependancy on it and just didn't see myself sleeping with a breathing machine for the rest of my life... ENT surgeon gave me a 50-50 chance for the apnea to be "cured" by surgery and I opted to take the chance.. Personal choice I guess..
Surgery went very well. I had 4 procedures done at one time (tonsils, uvula, nose septum and turbinates all in one shot). First night was a bit of a challenge but otherwise pain medication worked well and I was fully recovered in 10 days (shorter than the 2 weeks predicted). My apnea was cured by 95% and I sure am glad I did that surgery(ies). .
It is not clear whether in your case your HIV status and/or meds had any factor in cancelling your surgery. I wasn't on any HIV meds at the time of surgery and my ID Dr said my CD4 of 300 is good enough to keep me out of trouble, but even if I were taking meds there shouldn't be any problem...
« Last Edit: October 04, 2009, 07:11:07 PM by AboutToStart »

 


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