Society of Anesthesia & Sleep Medicine Table of Vol. 7 • Iss. 1 • 2018 Contents Message from the President 1-2 Editor’s File 3 Five Important Reviews in newsletter Perioperative Sleep Medicine Message from the President Published 2016/2017 4-5 Babak Mokhlesi, MD, MSc ERAS for Sleep Disordered University of Chicago Breathing – Pro! 5-6 Chicago, IL CON: Enhanced Recovery After Surgery (ERAS) for Patients with Obstructive Sleep Apnea These are exciting times for the Society of Anesthesia and Sleep Medicine (SASM). We are now in our (OSA)/ Sleep Disordered seventh year and it is my great honor to have been nominated by the Board and elected by the member- Breathing (SDB) 7-8 ship to serve as your fifth president. I am grateful to our past presidents (Drs. David Hillman, Frances Chung, Peter Gay and Girish Joshi) for setting a vision for our young, yet influential and vibrant Society. STOP-Bang Questionnaire: My goal is to serve SASM to the best of my ability to ensure advancing its vision. I will continue to rely A Screening Tool to Predict on our past leaders’ collective wisdom and counsel to chart our society through another year of success. Postoperative Complications 8-10 It is important to take a moment and reflect on our overarching mission. SASM was founded to pro- mote education and scientific inquiry in two areas of medicine that share significant common ground: Postoperative Delirium and Anesthesiology and Sleep Medicine. Our mission is to advance standards of care for clinical problems Sleep Apnea 11-12 shared by Anesthesiology and Sleep Medicine and to promote interdisciplinary communication, educa- tion and research in matters common to both fields. As we continue to grow as a society, let us not forget Summary of SASM 2017 the pillars on which SASM was founded: Annual Meeting 13-14 • Promote the cross fertilization of ideas between anesthesiology and sleep medicine. SASM 2017 Annual Meeting • Stimulate interest in research examining the relationships in respiratory, neurophysiological, neuro- Abstract Winners 14 psychological and neuropharmacological function between anesthesia and sleep. SASM Officers & Board of • Promote studies of the mechanisms of anesthesia and sleep and the consequences of anesthesia and Directors 15 sleep on brain and other organ functions. SASM Member Benefits 16 • Promote clinical and epidemiological studies determining the associations between sleep disordered breathing and perioperative risk. • Examine methods of minimizing perioperative risk of upper airway obstruction or ventilatory insuf- ficiency in predisposed individuals. • Explore the use of various therapies (including, but not limited to non-invasive positive airway pres- sure therapies) to prevent and treat perioperative upper airway obstruction or hypoventilation. I am proud to report that we have remained true to our mission of promoting education and scientific inquiry. SASM has successfully organized seven annual meetings for our membership. These meet- Society of Anesthesia & Sleep Medicine ings have provided a platform for exchange of ideas, introducing pathways to improve clinical care of 6737 W Washington Street, perioperative patients with sleep disorders, and planning of future research collaborations. Dr. Stavros Suite 4210 Memtsoudis and I were honored to chair the 2017 Annual Meeting. We were pleased that 32 abstracts Milwaukee, WI 53214 were submitted to the annual meeting. This task was successfully chaired by Drs. Malin Jonsson-Fa- www.sasmhq.org >> President’s Message continued on next page 1 >> President’s Message continued from previous page gerlund and Toby Weingarten and we look Chung. Drs. Dennis Auckley, Rahul Kakkar is our website that allows us to promote our forward to their future contributions. I look and their team are working on developing vision and to share with our members var- forward in working with Drs. Tom Clo- a guideline on perioperative management ious educational resources, our newsletters ward and Krish Ramachandran who are the of patients with narcolepsy. I am confident and literature updates. chairs of our 2018 Annual Meeting in San that these guidelines will become instru- Francisco. I am confident they will assem- mental for clinicians so that they can pro- In closing, our Society includes a large ble an outstanding scientific program and vide better care to patients with sleep disor- group of talented, dedicated and devot- workshops that will attract a large audience ders during the perioperative period. ed members. Many of our members are of clinicians and researchers interested in thought leaders in the field of Anesthesiol- perioperative medicine. Our Clinical Committee, co-chaired by ogy and/or Sleep Medicine. We are grate- Bhargavi Gali and Dennis Auckley, has ful to have them actively contributing to Under the leadership of Frances Chung, been extremely active. They have devel- our Society. It goes without saying that our SASM successfully assembled an interna- oped several valuable educational resources success is in great part due to the drive and tional team of experts in areas of anesthe- for clinicians and have made them avail- eagerness of our members. Your input as siology, sleep medicine, pulmonary and able on the SASM website to the public. Dr. a member is most valuable and I want to critical care medicine to develop a clinical Jean Wong has been chairing our News- encourage you to share your thoughts with practice guideline on preoperative screen- letter subcommittee that leads to three me. I would like to invite SASM members ing and assessment of adult patients with newsletters annually. These newsletters who want to volunteer and contribute to obstructive sleep apnea. This clinical prac- are important to keep our membership the Society to contact me directly. Only tice guideline was published in Anesthesia informed about new developments in our working together as a group we can con- and Analgesia in August 2016. I am proud Society and the field. Dr. Susana Vacas has tinue to promote our agenda as a Society. to inform our Society that it has been cit- also been working tirelessly on the Scien- I look forward to working with the Board, ed 40 times in 2017. This is a tremendous tific Updates. In her role as the chair of the Committee Chairs, and all members of milestone for our young society and I con- Scientific Update Subcommittee, her team SASM. Our collective expertise and enthu- gratulate all of my colleagues who were in- has developed literature updates that are siasm continues to be a catalyst for promot- volved in this monumental task. extremely useful for busy clinicians who ing patient safety and improved outcomes are interested in staying up to date in the in the context of perioperative care of pa- I am also excited to report that our Society field of sleep and perioperative medicine. I tients with sleep disorders. I wish all of you continues to work actively on several other am very grateful to Dr. Michael Pilla who a productive year that will culminate in our guidelines. A guideline on intraoperative over the years has been working diligently annual meeting in October 2018 in San management of patients with sleep apnea to improve the SASM website in his role as Francisco. is being developed under the leadership the Communication Subcommittee chair. It of Drs. Stavros Memtsoudis and Frances Save the Date SASM 8th Annual Meeting October 12, 2018 San Francisco, California 2 Editor’s File Jean Wong, MD, FRCPC Associate Professor, Department of Anesthesia, University of Toronto Staff Anesthesiologist, Toronto Western Hospital University Health Network I would like to take this opportunity to many other fronts, including educational The STOP-Bang Questionnaire has been wish everyone a healthy and happy new resources, and developing guidelines that validated in the surgical population and year! Our past President, Girish Joshi, MB, will be valuable tools for clinicians caring other populations to screen patients for BS, MD, FFARCSI has provided outstand- for surgical patients with sleep disordered OSA, however, this meta-analysis shows ing leadership and vision over the past breathing. that the STOP-Bang questionnaire can year. Incoming President, Babak Mohkle- be used to risk stratify patients to predict si, MD, MSc, will ensure that our society I would like to thank Mandeep Singh, postoperative complications. continues to promote the goals of encour- MBBS, MD, MSc, FRCPC, for serving as aging collaboration amongst anesthesiolo- the previous Co-Chair of the newsletter. Sakura Kinjo, MD, examines recent evi- gists, sleep medicine specialists, surgeons, I welcome Mahesh Nagappa, MD as the dence suggesting that sleep apnea may be and other health care providers to pro- new Co-Chair of the Newsletter Commit- a risk factor for postoperative delirium. mote education and research to improve tee and look forward to working with Ma- She describes a recent systematic review perioperative management of patients hesh to bring readers 3 annual newsletters. published by Lam et al. explaining some with sleep-disordered breathing. of the evidence supporting possible mech- This issue of the newsletter features a sum- anisms for an association of sleep apnea Recently, one of the founding members mary from Susana Vacas, MD, PhD, of the with postoperative delirium. of our society, Frances Chung, MBBS, five most important reviews on periopera- FRCPC, was recognized for her publica- tive sleep medicine that were published in Finally, Mandeep Singh, MBBS, MD, MSc, tion: “High STOP-Bang score indicates 2016/2017. These reviews provide import- FRCPC, provides a summary of the 2017 a high probability of obstructive sleep ant summaries of the literature to date on Annual Meeting in Boston, Massachu- apnea” This paper was published in 2012 many areas of particular interest to mem- setts. This meeting was another success, in the British Journal of Anaesthesia. On bers of the society, and point to areas of with presentations and discussions of 2017 World Anesthesia Day, the British future research.