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Anesthesia professionals key to identifying children at risk for sleep-disordered breathing prior to surgery

Date:
August 10, 2015
Source:
American Association of Nurse Anesthetists (AANA)
Summary:
Knowing which risks may come into play before or during surgery is especially important where children are concerned. Implementation of a screening questionnaire helps anesthesia professionals identify children with symptoms of sleep-disordered breathing (SDB) before undergoing a general anesthetic.
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Knowing which risks may come into play before or during surgery is especially important where children are concerned. Implementation of a screening questionnaire detailed in the latest AANA Journal helps anesthesia professionals identify children with symptoms of sleep-disordered breathing (SDB) before undergoing a general anesthetic.

The article, "Snoring, Trouble Breathing, Un-Refreshed (STBUR) Screening Questionnaire to Reduce Perioperative Respiratory Adverse Events in Pediatric Surgical Patients: A Quality Improvement Project," appears in the August 2015 issue of the journal, published by the American Association of Nurse Anesthetists (AANA).

A main challenge to addressing SDB in children about to undergo surgery is the lack of awareness of the risks and parents who underestimate their child's condition. Lead author Karrey L. Terry, CRNA, DNP, says, "Parents are often unaware of the potential problems related to their child's snoring. Recognition of this condition is of utmost importance, as children have died after routine tonsillectomies after receiving too much pain medication."

Because SDB manifests itself in a patient's respiration, anesthesia professionals such as Certified Registered Nurse Anesthetists (CRNAs) are in a perfect position to uncover undiagnosed conditions such as SDB prior to surgery in an effort to head off any respiratory complications during anesthesia. The STBUR questionnaire provides five questions that help to identify SDB prior to surgery. The importance of identifying those at risk is paramount: The likelihood of developing a perioperative respiratory adverse event (PRAE) increases three-fold in the presence of any three STBUR symptoms, and by 10-fold when all five symptoms are present.

Including the STBUR questionnaire in the pre-anesthesia interview serves to raise awareness of potential risks, and allows anesthesia professionals to modify their airway and anesthesia plans toward safer practices. "We are looking to improve safety by creating evidence-based standards of care," says Terry.

The article can be found online at: http://www.aana.com/newsandjournal/20102019/snoring-0815-pp256-262.pdf


Story Source:

Materials provided by American Association of Nurse Anesthetists (AANA). Note: Content may be edited for style and length.


Journal Reference:

  1. Marilyn Krajicek, EdD, RN, FAAN et al. Snoring, Trouble Breathing, Un-Refreshed (STBUR) Screening Questionnaire to Reduce Perioperative Respiratory Adverse Events in Pediatric Surgical Patients: A Quality Improvement Project. AANA Journal, August 2015

Cite This Page:

American Association of Nurse Anesthetists (AANA). "Anesthesia professionals key to identifying children at risk for sleep-disordered breathing prior to surgery." ScienceDaily. ScienceDaily, 10 August 2015. <www.sciencedaily.com/releases/2015/08/150810132226.htm>.
American Association of Nurse Anesthetists (AANA). (2015, August 10). Anesthesia professionals key to identifying children at risk for sleep-disordered breathing prior to surgery. ScienceDaily. Retrieved May 23, 2017 from www.sciencedaily.com/releases/2015/08/150810132226.htm
American Association of Nurse Anesthetists (AANA). "Anesthesia professionals key to identifying children at risk for sleep-disordered breathing prior to surgery." ScienceDaily. www.sciencedaily.com/releases/2015/08/150810132226.htm (accessed May 23, 2017).

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