Ambulatory versus inpatient surgery for patients with known OSA or suspected OSA

This algorithm applies to patients who undergo procedures that are typically performed on an outpatient basis. For further information refer to UpToDate content on surgical risk and preoperative evaluation of patients with OSA.

BMI: body mass index; OSA: obstructive sleep apnea; PAP: positive airway pressure.

* Patients with suspected OSA are those with high risk based on STOP-Bang score.

¶ Other considerations include severity of OSA, other patient comorbidities, type of surgery (eg, airway surgery) and the capabilities of the outpatient facility (eg, availability of difficult airway equipment, respiratory care equipment, radiology facilites, clinical laboratory facilities, and a transfer agreement with an inpatient facility).

Δ Surgeons, patients, and family or caregivers must be made aware of the need for heightened vigilance after discharge home.

Graphic 117579 Version 4.0

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Ambulatory versus inpatient surgery for patients with known OSA or suspected OSA