NOTE: This module is currently in the process of being updated and recertified, and so does not currently offer CME. A fully updated module eligible for CME is expected to be available October 2023.

Efrén C. Manjarrez, MD, SFHM, FACP

If you are a Program Director and would like to grant access to your trainees, please reach out to education@hospitalmedicine.org for an academic access code.

Based on the original Perioperative Management of Sleep Apnea and Noninvasive Respiratory Management for the Hospitalist, by Peter G. Kallas, MD.

Summary

Obstructive sleep apnea (OSA) has an increased incidence in the surgical population compared to the general patient population. The link between OSA and cardiac disease has been well established, although sleep apnea has also been associated with several other postoperative complications, the most feared being respiratory arrest. The following module discusses these aspects of OSA and the different screening tools available to clinicians. A discussion of the logistical barriers to managing OSA and the options for treatment is included to help hospitalists successfully identify and manage these patients during the perioperative period.

Goal

To provide hospitalists with up-to-date information about the perioperative management of sleep apnea and noninvasive respiratory management.

Target Audience

This activity is designed for hospitalists. No prerequisite required.

Learning Objectives

After completing the module, the participant will demonstrate the ability to:

1. Recognize the increased incidence of sleep apnea in the surgical population.
2. Highlight the association of sleep apnea with cardiac events.
3. Describe the association of sleep apnea with perioperative complications.
4. Assess the utility of different screening tools for obstructive sleep apnea (OSA).
5. Define the options and identify the obstacles for treatment of OSA in the postoperative period.

Accreditation Statement

The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Statement Designation 

The Society of Hospital Medicine designates this activity for a maximum of 2.00 AMA PRA Category 1 Credit(s)^TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Release date: July 2, 2020

Expiration date: July 2, 2023

Estimated time to complete: 2 hours

Conflict of Interest Disclosure Policy

In accordance with the ACCME Standards for Commercial Support, SHM requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. SHM mitigates all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. All relevant financial relationships shall be disclosed to participants prior to the start of the activity.

Furthermore, SHM seeks to verify that all scientific research referred to, reported, or used in a continuing medical education (CME) activity conforms to the generally accepted standards of experimental design, data collection, and analysis. SHM is committed to providing its learners with high-quality CME activities that promote improvements in healthcare and not those of a commercial interest.

Instructions

The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of several sections: a pre-test, a study program, a post-test, & CME evaluation. All sections must be completed to receive CME credit.