SlideShare a Scribd company logo
Preoperative Assessment & Perioperative Management Ho-Sheng Lin, MD Associate Professor Department of Otolaryngology/ Head and Neck Surgery SCS Educational Day 11/27/07
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Powell Riley 2-Phase Surgical Protocol 66% GAHM BOT only Type III 60% UPPP and GAHM Palatal and BOT Type II 80% UPPP Palatal only Type I Response Rate Type of Surgical Procedure(s) Site of Obstruction Fujita Classification
Powell Riley 2-Phase Surgical Protocol
Powell Riley 2-Phase Surgical Protocol ,[object Object],[object Object],[object Object],[object Object],N=306 Phase I  Surgery  N=239 Failed prior  UPPP  N=60 Responder  N=145 Nonresponder N=94 Skeletal  deformity  N=7 Refused  further surg N=70 Proceed to  phase II N=24 Phase II Surgery N=91 Responder N=89 Nonresponder N=2
Powell-Riley Phase I – Soft Tissue ,[object Object],[object Object],[object Object],Sleep 2007; 30:461-7
Powell-Riley Phase I – Soft Tissue ,[object Object],[object Object],[object Object],[object Object]
Diagnostic Modalities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],General Head & Neck Examination
General Head & Neck Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
General Head & Neck Examination ,[object Object],[object Object],[object Object],[object Object],[object Object]
Friedman Clinical Staging ,[object Object],< 40 < 40 3, 4 3, 4 I II BMI Tonsil Size Friedman Tongue Position
Friedman Clinical Staging ,[object Object],< 40 < 40 0, 1, 2 0, 1, 2 III IV BMI Tonsil Size Friedman Tongue Position
Friedman Clinical Staging  ,[object Object],< 40 < 40 0, 1, 2 3, 4 I, II III, IV BMI Tonsil Size Friedman Tongue Position
Friedman Clinical Staging ,[object Object],All patients with significant craniofacial or other anatomic deformities    40 0, 1, 2, 3, or 4 1, 2, 3, or 4 BMI Tonsil Size Friedman Tongue Position
Successful Treatment of OSAHS with UP3 % Successful Treatment Friedman et al. Otolaryngol Head Neck Surg 2003;129:611-21.
Distribution of Patients with OSAHS by Stage Percentage of Patients Friedman et al. Otolaryngol Head Neck Surg 2003;129:611-21.
Successful Treatment of OSAHS with UP3 vs. UP3 + TBRF % Successful Treatment * * * Different from UP3 only ( P  < .001) Friedman et al. Otolaryngol Head Neck Surg 2003;129:611-21.
Modified Muller Maneuver ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lateral Cephalometric Analysis SNB SNB < 72o  Severe mandibular deficiency  BOT obstruction PNS-P > 40  velopharyngeal obstruction PAS < 7 mm  BOT obstruction MP-H  > 20 BOT obstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fluoroscopy and Somnofluoroscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pharyngeal Pressure Measurement   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cine CT Scan   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MRI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sleep Endoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Palatal Level:  Posterior Collapse of Soft Palate
Palatal Level: Circumferential Narrowing
Oropharyngeal Level :  Posterior Collapse of BOT
Oropharyngeal Level :  Collapse of Lateral OP Wall
Oropharyngeal Level:  Circumferential Narrowing
Supraglottic Level: Collapse of Epiglottis
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preoperative Considerations: Selection of Surgical Candidates ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preoperative Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intraoperative Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Postoperative Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Postoperative Considerations

More Related Content

What's hot

Posterior iliac crest bone graft
Posterior iliac crest bone graftPosterior iliac crest bone graft
Posterior iliac crest bone graft
Jamil Kifayatullah
 
Jc on frontal fracture
Jc on frontal fractureJc on frontal fracture
Jc on frontal fracture
Dr. SHEETAL KAPSE
 
Facial fracture
Facial fractureFacial fracture
Facial fracture
priyanka rana
 
Rhinomanometry
RhinomanometryRhinomanometry
RhinomanometrySupreet Sn
 
6 maxillary osteotomies
6  maxillary osteotomies6  maxillary osteotomies
6 maxillary osteotomiesvasanramkumar
 
tip plasty.pptx
tip plasty.pptxtip plasty.pptx
tip plasty.pptx
alidarini1
 
Nasal Cavity and Sphenoid Sinus Anatomy
Nasal Cavity and Sphenoid Sinus AnatomyNasal Cavity and Sphenoid Sinus Anatomy
Nasal Cavity and Sphenoid Sinus Anatomy
Farrukh Javeed
 
Local & regional flaps /certified fixed orthodontic courses by Indian dental ...
Local & regional flaps /certified fixed orthodontic courses by Indian dental ...Local & regional flaps /certified fixed orthodontic courses by Indian dental ...
Local & regional flaps /certified fixed orthodontic courses by Indian dental ...
Indian dental academy
 
Pediatric trauma
Pediatric traumaPediatric trauma
Pediatric trauma
Dr Preeti Sharma
 
endoscopic anatomy of nasal cavity
endoscopic anatomy of nasal cavityendoscopic anatomy of nasal cavity
endoscopic anatomy of nasal cavity
drashokentmmc
 
Mandibular reconstruction
Mandibular reconstruction Mandibular reconstruction
Mandibular reconstruction
Jamil Kifayatullah
 
Hemiglossectomy and mandibulectomy Dr. M.Erami
Hemiglossectomy and mandibulectomy Dr. M.EramiHemiglossectomy and mandibulectomy Dr. M.Erami
Hemiglossectomy and mandibulectomy Dr. M.Erami
mderami
 
Surgical mx of otosclerosis
Surgical mx of otosclerosisSurgical mx of otosclerosis
Surgical mx of otosclerosis
Sanjay Maharjan
 
Evaluation and Management of Facial Nerve Palsy by Dr.Aditya Tiwari.
Evaluation and Management of Facial Nerve Palsy by Dr.Aditya Tiwari.Evaluation and Management of Facial Nerve Palsy by Dr.Aditya Tiwari.
Evaluation and Management of Facial Nerve Palsy by Dr.Aditya Tiwari.
Aditya Tiwari
 
Maxillofacial radiology
Maxillofacial radiologyMaxillofacial radiology
Maxillofacial radiology
Rince Mohammed
 
Fibrous dysplasia of maxilla
Fibrous dysplasia of maxilla Fibrous dysplasia of maxilla
Fibrous dysplasia of maxilla
Dr Priyakarthik
 
Maxillectomy & Rehabilitation
Maxillectomy & RehabilitationMaxillectomy & Rehabilitation
Maxillectomy & Rehabilitation
Dr Utkal Mishra
 
Endoscopic middle ear surgery
Endoscopic middle ear surgeryEndoscopic middle ear surgery
Endoscopic middle ear surgery
Divya Raana
 
Otolaryngology(ENT) history part 1
Otolaryngology(ENT) history part 1Otolaryngology(ENT) history part 1
Otolaryngology(ENT) history part 1
Kartik Deshmukh
 

What's hot (20)

Posterior iliac crest bone graft
Posterior iliac crest bone graftPosterior iliac crest bone graft
Posterior iliac crest bone graft
 
Jc on frontal fracture
Jc on frontal fractureJc on frontal fracture
Jc on frontal fracture
 
Facial fracture
Facial fractureFacial fracture
Facial fracture
 
Rhinomanometry
RhinomanometryRhinomanometry
Rhinomanometry
 
6 maxillary osteotomies
6  maxillary osteotomies6  maxillary osteotomies
6 maxillary osteotomies
 
External rhinoplasty
External rhinoplastyExternal rhinoplasty
External rhinoplasty
 
tip plasty.pptx
tip plasty.pptxtip plasty.pptx
tip plasty.pptx
 
Nasal Cavity and Sphenoid Sinus Anatomy
Nasal Cavity and Sphenoid Sinus AnatomyNasal Cavity and Sphenoid Sinus Anatomy
Nasal Cavity and Sphenoid Sinus Anatomy
 
Local & regional flaps /certified fixed orthodontic courses by Indian dental ...
Local & regional flaps /certified fixed orthodontic courses by Indian dental ...Local & regional flaps /certified fixed orthodontic courses by Indian dental ...
Local & regional flaps /certified fixed orthodontic courses by Indian dental ...
 
Pediatric trauma
Pediatric traumaPediatric trauma
Pediatric trauma
 
endoscopic anatomy of nasal cavity
endoscopic anatomy of nasal cavityendoscopic anatomy of nasal cavity
endoscopic anatomy of nasal cavity
 
Mandibular reconstruction
Mandibular reconstruction Mandibular reconstruction
Mandibular reconstruction
 
Hemiglossectomy and mandibulectomy Dr. M.Erami
Hemiglossectomy and mandibulectomy Dr. M.EramiHemiglossectomy and mandibulectomy Dr. M.Erami
Hemiglossectomy and mandibulectomy Dr. M.Erami
 
Surgical mx of otosclerosis
Surgical mx of otosclerosisSurgical mx of otosclerosis
Surgical mx of otosclerosis
 
Evaluation and Management of Facial Nerve Palsy by Dr.Aditya Tiwari.
Evaluation and Management of Facial Nerve Palsy by Dr.Aditya Tiwari.Evaluation and Management of Facial Nerve Palsy by Dr.Aditya Tiwari.
Evaluation and Management of Facial Nerve Palsy by Dr.Aditya Tiwari.
 
Maxillofacial radiology
Maxillofacial radiologyMaxillofacial radiology
Maxillofacial radiology
 
Fibrous dysplasia of maxilla
Fibrous dysplasia of maxilla Fibrous dysplasia of maxilla
Fibrous dysplasia of maxilla
 
Maxillectomy & Rehabilitation
Maxillectomy & RehabilitationMaxillectomy & Rehabilitation
Maxillectomy & Rehabilitation
 
Endoscopic middle ear surgery
Endoscopic middle ear surgeryEndoscopic middle ear surgery
Endoscopic middle ear surgery
 
Otolaryngology(ENT) history part 1
Otolaryngology(ENT) history part 1Otolaryngology(ENT) history part 1
Otolaryngology(ENT) history part 1
 

Viewers also liked

Preoperative and postoperative care
Preoperative and postoperative carePreoperative and postoperative care
Preoperative and postoperative care
Saeed Bajafar
 
Preoperative Assessment (Intro)
Preoperative Assessment (Intro)Preoperative Assessment (Intro)
Preoperative Assessment (Intro)Andrew Ferguson
 
Preoperative assessment of surgical patients
Preoperative  assessment  of  surgical  patientsPreoperative  assessment  of  surgical  patients
Preoperative assessment of surgical patients
KETAN VAGHOLKAR
 
Preoperative preparation
Preoperative preparationPreoperative preparation
Preoperative preparation
Dr. Quazi Mehranuddin Ahmed
 
Preoperative assessment
Preoperative  assessmentPreoperative  assessment
Preoperative assessmentisakakinada
 
Principles of preoperative assessment
Principles of preoperative assessmentPrinciples of preoperative assessment
Principles of preoperative assessment
Arravindh Vivekananthan
 
Pre operative care
Pre operative carePre operative care
Pre operative care
Uthamalingam Murali
 
perioperative nursing care
perioperative nursing careperioperative nursing care
perioperative nursing caretwiggypiggy
 
Airway assessment Dr. Tushar
Airway assessment Dr. TusharAirway assessment Dr. Tushar
Airway in Trauma - JK Pui
Airway in Trauma - JK PuiAirway in Trauma - JK Pui
Airway in Trauma - JK Pui
Amit Maini
 
Otolaryngology head &neck surgery – an introduction
Otolaryngology head &neck  surgery – an introductionOtolaryngology head &neck  surgery – an introduction
Otolaryngology head &neck surgery – an introductionAbdulaziz Saleh
 
Preop eval and airway management
Preop eval and airway managementPreop eval and airway management
Preop eval and airway management
Jackie San
 
Head and Neck Trauma by Dr. Kenneth Dickie
Head and Neck Trauma by Dr. Kenneth DickieHead and Neck Trauma by Dr. Kenneth Dickie
Head and Neck Trauma by Dr. Kenneth Dickie
Kenneth Dickie
 
Pedicled flaps in head and neck surgery
Pedicled flaps in head and neck surgeryPedicled flaps in head and neck surgery
Pedicled flaps in head and neck surgery
Ram Raju
 
025 Surgical planning overview
025 Surgical planning overview025 Surgical planning overview
025 Surgical planning overview
Neurosurgery Vajira
 
Grand round obstructive sleep apnea in adults
Grand round obstructive sleep apnea in adultsGrand round obstructive sleep apnea in adults
Grand round obstructive sleep apnea in adults
Khairallah Aoucar
 
Conservative surgery for head and neck cancer
Conservative surgery for head and neck cancerConservative surgery for head and neck cancer
Conservative surgery for head and neck cancer
Dr Zeeshan Ahmad
 

Viewers also liked (20)

Preoperative and postoperative care
Preoperative and postoperative carePreoperative and postoperative care
Preoperative and postoperative care
 
Preoperative Surgical Preparation
Preoperative Surgical PreparationPreoperative Surgical Preparation
Preoperative Surgical Preparation
 
Preoperative Assessment (Intro)
Preoperative Assessment (Intro)Preoperative Assessment (Intro)
Preoperative Assessment (Intro)
 
Preoperative assessment of surgical patients
Preoperative  assessment  of  surgical  patientsPreoperative  assessment  of  surgical  patients
Preoperative assessment of surgical patients
 
Preoperative preparation
Preoperative preparationPreoperative preparation
Preoperative preparation
 
Preoperative assessment
Preoperative  assessmentPreoperative  assessment
Preoperative assessment
 
Principles of preoperative assessment
Principles of preoperative assessmentPrinciples of preoperative assessment
Principles of preoperative assessment
 
Pre operative care
Pre operative carePre operative care
Pre operative care
 
perioperative nursing care
perioperative nursing careperioperative nursing care
perioperative nursing care
 
Airway assessment Dr. Tushar
Airway assessment Dr. TusharAirway assessment Dr. Tushar
Airway assessment Dr. Tushar
 
00 Cover
00 Cover00 Cover
00 Cover
 
Airway in Trauma - JK Pui
Airway in Trauma - JK PuiAirway in Trauma - JK Pui
Airway in Trauma - JK Pui
 
Skull base surgery by J. Shah
Skull base surgery by J. ShahSkull base surgery by J. Shah
Skull base surgery by J. Shah
 
Otolaryngology head &neck surgery – an introduction
Otolaryngology head &neck  surgery – an introductionOtolaryngology head &neck  surgery – an introduction
Otolaryngology head &neck surgery – an introduction
 
Preop eval and airway management
Preop eval and airway managementPreop eval and airway management
Preop eval and airway management
 
Head and Neck Trauma by Dr. Kenneth Dickie
Head and Neck Trauma by Dr. Kenneth DickieHead and Neck Trauma by Dr. Kenneth Dickie
Head and Neck Trauma by Dr. Kenneth Dickie
 
Pedicled flaps in head and neck surgery
Pedicled flaps in head and neck surgeryPedicled flaps in head and neck surgery
Pedicled flaps in head and neck surgery
 
025 Surgical planning overview
025 Surgical planning overview025 Surgical planning overview
025 Surgical planning overview
 
Grand round obstructive sleep apnea in adults
Grand round obstructive sleep apnea in adultsGrand round obstructive sleep apnea in adults
Grand round obstructive sleep apnea in adults
 
Conservative surgery for head and neck cancer
Conservative surgery for head and neck cancerConservative surgery for head and neck cancer
Conservative surgery for head and neck cancer
 

Similar to Preop Assessment Periop Management

Icu Emergency Airway Management
Icu Emergency Airway ManagementIcu Emergency Airway Management
Icu Emergency Airway ManagementAndrew Ferguson
 
Award-winning New CT grading system for preoperative Endoscopic Frontal sinus...
Award-winning New CT grading system for preoperative Endoscopic Frontal sinus...Award-winning New CT grading system for preoperative Endoscopic Frontal sinus...
Award-winning New CT grading system for preoperative Endoscopic Frontal sinus...
Heitham Gheriani
 
regional anesthesia and beir block
regional anesthesia and beir blockregional anesthesia and beir block
regional anesthesia and beir blockAhmed Almumtin
 
Pre-anaesthetic evaluation.ppt
Pre-anaesthetic evaluation.pptPre-anaesthetic evaluation.ppt
Pre-anaesthetic evaluation.ppt
Olofin Kayode
 
Recognition And Management Of Difficult Airway
Recognition And Management Of Difficult AirwayRecognition And Management Of Difficult Airway
Recognition And Management Of Difficult AirwayDr. Shaheer Haider
 
TMJ ankylosis
TMJ ankylosisTMJ ankylosis
TMJ ankylosis
MohitKharbanda14
 
Case day surgery
Case day surgeryCase day surgery
Case day surgery
Tayyab_khanoo9
 
How do I safely ventilate my patient inOT.pptx
How do I safely ventilate my patient inOT.pptxHow do I safely ventilate my patient inOT.pptx
How do I safely ventilate my patient inOT.pptx
chandra talur
 
Weaning: The art and science
Weaning: The art and scienceWeaning: The art and science
Weaning: The art and science
SujayHalkurShankar
 
Osa tongue-based- Surgical Procedures
Osa tongue-based- Surgical ProceduresOsa tongue-based- Surgical Procedures
Osa tongue-based- Surgical Procedures
Prasanna Datta
 
Rapid Sequence Intubation
Rapid Sequence IntubationRapid Sequence Intubation
Rapid Sequence Intubation
Eric Wilke
 
Open Versus Laparoscopic Surgery What is A Myth and What is Not!
Open Versus Laparoscopic Surgery What is A Myth and What is Not!Open Versus Laparoscopic Surgery What is A Myth and What is Not!
Open Versus Laparoscopic Surgery What is A Myth and What is Not!George S. Ferzli
 
obstructive sleep apnea.pptx
obstructive sleep apnea.pptxobstructive sleep apnea.pptx
obstructive sleep apnea.pptx
Rehana116725
 
COPD-Spirometry-Module.ppt
COPD-Spirometry-Module.pptCOPD-Spirometry-Module.ppt
COPD-Spirometry-Module.ppt
DrKhamisElessi1
 
Anesthesia for day case-1.pptx
Anesthesia for day case-1.pptxAnesthesia for day case-1.pptx
Anesthesia for day case-1.pptx
AhmadUllah71
 
Bedside assessment of pulmonary function by prof. mridul panditrao
Bedside assessment of pulmonary function by prof. mridul panditraoBedside assessment of pulmonary function by prof. mridul panditrao
Bedside assessment of pulmonary function by prof. mridul panditrao
Prof. Mridul Panditrao
 
Weaning and Discontinuing Ventilatory Support
Weaning and Discontinuing Ventilatory SupportWeaning and Discontinuing Ventilatory Support
Weaning and Discontinuing Ventilatory Support
hanaa
 
Complications Following Antireflux Surgery: Recognition and Management
Complications Following Antireflux Surgery: Recognition and ManagementComplications Following Antireflux Surgery: Recognition and Management
Complications Following Antireflux Surgery: Recognition and ManagementGeorge S. Ferzli
 
Laparoscopic Inguinal Hernia Repair Eminence-based or Evidence-based?
Laparoscopic Inguinal Hernia Repair Eminence-based or Evidence-based?Laparoscopic Inguinal Hernia Repair Eminence-based or Evidence-based?
Laparoscopic Inguinal Hernia Repair Eminence-based or Evidence-based?George S. Ferzli
 

Similar to Preop Assessment Periop Management (20)

Icu Emergency Airway Management
Icu Emergency Airway ManagementIcu Emergency Airway Management
Icu Emergency Airway Management
 
Award-winning New CT grading system for preoperative Endoscopic Frontal sinus...
Award-winning New CT grading system for preoperative Endoscopic Frontal sinus...Award-winning New CT grading system for preoperative Endoscopic Frontal sinus...
Award-winning New CT grading system for preoperative Endoscopic Frontal sinus...
 
regional anesthesia and beir block
regional anesthesia and beir blockregional anesthesia and beir block
regional anesthesia and beir block
 
Pre-anaesthetic evaluation.ppt
Pre-anaesthetic evaluation.pptPre-anaesthetic evaluation.ppt
Pre-anaesthetic evaluation.ppt
 
Recognition And Management Of Difficult Airway
Recognition And Management Of Difficult AirwayRecognition And Management Of Difficult Airway
Recognition And Management Of Difficult Airway
 
TMJ ankylosis
TMJ ankylosisTMJ ankylosis
TMJ ankylosis
 
Case day surgery
Case day surgeryCase day surgery
Case day surgery
 
How do I safely ventilate my patient inOT.pptx
How do I safely ventilate my patient inOT.pptxHow do I safely ventilate my patient inOT.pptx
How do I safely ventilate my patient inOT.pptx
 
Weaning: The art and science
Weaning: The art and scienceWeaning: The art and science
Weaning: The art and science
 
Osa tongue-based- Surgical Procedures
Osa tongue-based- Surgical ProceduresOsa tongue-based- Surgical Procedures
Osa tongue-based- Surgical Procedures
 
Rapid Sequence Intubation
Rapid Sequence IntubationRapid Sequence Intubation
Rapid Sequence Intubation
 
Open Versus Laparoscopic Surgery What is A Myth and What is Not!
Open Versus Laparoscopic Surgery What is A Myth and What is Not!Open Versus Laparoscopic Surgery What is A Myth and What is Not!
Open Versus Laparoscopic Surgery What is A Myth and What is Not!
 
obstructive sleep apnea.pptx
obstructive sleep apnea.pptxobstructive sleep apnea.pptx
obstructive sleep apnea.pptx
 
COPD-Spirometry-Module.ppt
COPD-Spirometry-Module.pptCOPD-Spirometry-Module.ppt
COPD-Spirometry-Module.ppt
 
Anesthesia for day case-1.pptx
Anesthesia for day case-1.pptxAnesthesia for day case-1.pptx
Anesthesia for day case-1.pptx
 
Bedside assessment of pulmonary function by prof. mridul panditrao
Bedside assessment of pulmonary function by prof. mridul panditraoBedside assessment of pulmonary function by prof. mridul panditrao
Bedside assessment of pulmonary function by prof. mridul panditrao
 
Fmc postop period
Fmc postop periodFmc postop period
Fmc postop period
 
Weaning and Discontinuing Ventilatory Support
Weaning and Discontinuing Ventilatory SupportWeaning and Discontinuing Ventilatory Support
Weaning and Discontinuing Ventilatory Support
 
Complications Following Antireflux Surgery: Recognition and Management
Complications Following Antireflux Surgery: Recognition and ManagementComplications Following Antireflux Surgery: Recognition and Management
Complications Following Antireflux Surgery: Recognition and Management
 
Laparoscopic Inguinal Hernia Repair Eminence-based or Evidence-based?
Laparoscopic Inguinal Hernia Repair Eminence-based or Evidence-based?Laparoscopic Inguinal Hernia Repair Eminence-based or Evidence-based?
Laparoscopic Inguinal Hernia Repair Eminence-based or Evidence-based?
 

More from MedicineAndHealth14

www.triz.hk/icoiappt/icoia010601.ppt www.triz.hk/icoiappt/icoia010601.ppt
www.triz.hk/icoiappt/icoia010601.ppt 	 www.triz.hk/icoiappt/icoia010601.pptwww.triz.hk/icoiappt/icoia010601.ppt 	 www.triz.hk/icoiappt/icoia010601.ppt
www.triz.hk/icoiappt/icoia010601.ppt www.triz.hk/icoiappt/icoia010601.pptMedicineAndHealth14
 
Design of a medical simulator for subcutaneous contraceptive implant insertio...
Design of a medical simulator for subcutaneous contraceptive implant insertio...Design of a medical simulator for subcutaneous contraceptive implant insertio...
Design of a medical simulator for subcutaneous contraceptive implant insertio...MedicineAndHealth14
 
Obesity: The Bariatric Challenge Obesity: The Bariatric Challenge
Obesity: The Bariatric Challenge 	 Obesity: The Bariatric ChallengeObesity: The Bariatric Challenge 	 Obesity: The Bariatric Challenge
Obesity: The Bariatric Challenge Obesity: The Bariatric ChallengeMedicineAndHealth14
 
PEPTIDES AS BIOTHERAPEUTIC TOOLS PEPTIDES AS BIOTHERAPEUTIC TOOLS
PEPTIDES AS BIOTHERAPEUTIC TOOLS 	 PEPTIDES AS BIOTHERAPEUTIC TOOLSPEPTIDES AS BIOTHERAPEUTIC TOOLS 	 PEPTIDES AS BIOTHERAPEUTIC TOOLS
PEPTIDES AS BIOTHERAPEUTIC TOOLS PEPTIDES AS BIOTHERAPEUTIC TOOLSMedicineAndHealth14
 
Stage IIB carcinoma of the cervix that is associated with pelvic kidney: Athe...
Stage IIB carcinoma of the cervix that is associated with pelvic kidney: Athe...Stage IIB carcinoma of the cervix that is associated with pelvic kidney: Athe...
Stage IIB carcinoma of the cervix that is associated with pelvic kidney: Athe...MedicineAndHealth14
 

More from MedicineAndHealth14 (20)

Diabetic eye disease
Diabetic eye diseaseDiabetic eye disease
Diabetic eye disease
 
Womenseyehealth
WomenseyehealthWomenseyehealth
Womenseyehealth
 
Retinoblastoma
RetinoblastomaRetinoblastoma
Retinoblastoma
 
Glaucoma
GlaucomaGlaucoma
Glaucoma
 
Eye
EyeEye
Eye
 
Radical Neck Dissection
Radical Neck DissectionRadical Neck Dissection
Radical Neck Dissection
 
Entgr Tonsillectomy
Entgr TonsillectomyEntgr Tonsillectomy
Entgr Tonsillectomy
 
Iodine
IodineIodine
Iodine
 
Deep Neck Infections
Deep Neck InfectionsDeep Neck Infections
Deep Neck Infections
 
Passive Smoking and Health
Passive Smoking and HealthPassive Smoking and Health
Passive Smoking and Health
 
www.triz.hk/icoiappt/icoia010601.ppt www.triz.hk/icoiappt/icoia010601.ppt
www.triz.hk/icoiappt/icoia010601.ppt 	 www.triz.hk/icoiappt/icoia010601.pptwww.triz.hk/icoiappt/icoia010601.ppt 	 www.triz.hk/icoiappt/icoia010601.ppt
www.triz.hk/icoiappt/icoia010601.ppt www.triz.hk/icoiappt/icoia010601.ppt
 
Surgery Block Evaluation
Surgery Block EvaluationSurgery Block Evaluation
Surgery Block Evaluation
 
Cough In The Elderly
Cough In The ElderlyCough In The Elderly
Cough In The Elderly
 
Emergency Contraception
Emergency ContraceptionEmergency Contraception
Emergency Contraception
 
Design of a medical simulator for subcutaneous contraceptive implant insertio...
Design of a medical simulator for subcutaneous contraceptive implant insertio...Design of a medical simulator for subcutaneous contraceptive implant insertio...
Design of a medical simulator for subcutaneous contraceptive implant insertio...
 
Oral Pathology
Oral PathologyOral Pathology
Oral Pathology
 
Obesity: The Bariatric Challenge Obesity: The Bariatric Challenge
Obesity: The Bariatric Challenge 	 Obesity: The Bariatric ChallengeObesity: The Bariatric Challenge 	 Obesity: The Bariatric Challenge
Obesity: The Bariatric Challenge Obesity: The Bariatric Challenge
 
PEPTIDES AS BIOTHERAPEUTIC TOOLS PEPTIDES AS BIOTHERAPEUTIC TOOLS
PEPTIDES AS BIOTHERAPEUTIC TOOLS 	 PEPTIDES AS BIOTHERAPEUTIC TOOLSPEPTIDES AS BIOTHERAPEUTIC TOOLS 	 PEPTIDES AS BIOTHERAPEUTIC TOOLS
PEPTIDES AS BIOTHERAPEUTIC TOOLS PEPTIDES AS BIOTHERAPEUTIC TOOLS
 
Diabetes
DiabetesDiabetes
Diabetes
 
Stage IIB carcinoma of the cervix that is associated with pelvic kidney: Athe...
Stage IIB carcinoma of the cervix that is associated with pelvic kidney: Athe...Stage IIB carcinoma of the cervix that is associated with pelvic kidney: Athe...
Stage IIB carcinoma of the cervix that is associated with pelvic kidney: Athe...
 

Recently uploaded

Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
MedicoseAcademics
 
basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
aljamhori teaching hospital
 
Colonic and anorectal physiology with surgical implications
Colonic and anorectal physiology with surgical implicationsColonic and anorectal physiology with surgical implications
Colonic and anorectal physiology with surgical implications
Dr Maria Tamanna
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
KafrELShiekh University
 
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
kevinkariuki227
 
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptxTriangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Oleg Kshivets
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
NephroTube - Dr.Gawad
 
Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
MedicoseAcademics
 
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness JourneyTom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
greendigital
 
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdfARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
Anujkumaranit
 
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptxMaxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 
Physiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of TastePhysiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of Taste
MedicoseAcademics
 
NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control programNVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
Sapna Thakur
 
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in IndiaTop 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
SwastikAyurveda
 
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Prof. Marcus Renato de Carvalho
 
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists  Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Saeid Safari
 
Cervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptxCervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 
Vision-1.pptx, Eye structure, basics of optics
Vision-1.pptx, Eye structure, basics of opticsVision-1.pptx, Eye structure, basics of optics
Vision-1.pptx, Eye structure, basics of optics
Sai Sailesh Kumar Goothy
 
micro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdfmicro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdf
Anurag Sharma
 

Recently uploaded (20)

Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
 
basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
 
Colonic and anorectal physiology with surgical implications
Colonic and anorectal physiology with surgical implicationsColonic and anorectal physiology with surgical implications
Colonic and anorectal physiology with surgical implications
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
 
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
 
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptxTriangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
 
Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
 
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness JourneyTom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
 
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdfARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
 
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptxMaxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
 
Physiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of TastePhysiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of Taste
 
NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control programNVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
 
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in IndiaTop 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
 
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
 
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists  Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
 
Cervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptxCervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptx
 
Vision-1.pptx, Eye structure, basics of optics
Vision-1.pptx, Eye structure, basics of opticsVision-1.pptx, Eye structure, basics of optics
Vision-1.pptx, Eye structure, basics of optics
 
micro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdfmicro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdf
 

Preop Assessment Periop Management

Editor's Notes

  1. The preoperative assessment and planning is probably the most important part in the surgical treatment of OSA patients. You can have the best surgical technique in the world but if you chose the wrong patient or use the wrong procedure on the patient, you will not get a good surgical outcome.