Perioperative and Perianesthesia Considerations for Hypoglossal Nerve Stimulator Implantation in Obstructive Sleep Apnea Patients.

Hypoglossal nerve stimulation (Inspire Medical Systems, Maple Grove, Minnesota) is an innovative treatment option for eligible patients with moderate to severe obstructive sleep apnea (OSA). Since U.S.

AANA Journal Course - Vocal Cord Paralysis: Implications for Anesthesia Care.

Vocal cord paralysis (VCP) is the absence of movement of one or both vocal cords and can be neurogenic or mechanical in origin. Causes include surgical injury, intubation, malignancy, neurologic diseases, and trauma. Whether temporary or permanent, VCP increases the risk of respiratory distress and aspiration in the perioperative period.

Arytenoid Dislocation and Vocal Cord Immobility After Emergent Fiberoptic Intubation: A Case Report.

This case report describes a right arytenoid dislocation after emergency fiberoptic nasotracheal intubation in a patient with angioedema. The patient returned to the emergency department multiple times with classic symptoms of arytenoid dislocation, complicated by resultant postinjury laryngeal edema and poorly controlled laryngopharyngeal reflux. The arytenoid injury was not initially recognized, which delayed treatment.

Hypoglossal Nerve Stimulation: Effective Longterm Therapy for Obstructive Sleep Apnea.

Obstructive sleep apnea (OSA) is a worldwide health problem. Historically, OSA was believed to be primarily anatomical in origin due to excess tissue obstructing the airway. Uvulopalatopharyngoplasty, the most common surgical approach, was aimed at resecting or ablating this tissue but failed to resolve OSA in 59% of patients.