sleep apnea and surgery

Lisa1023
on 8/28/12 2:44 pm
VSG on 03/05/13 with
Hello.   I saw one of you mention how sleep apnea delayed your surgery.   How so ?  Doesnt most obese have sleep apnea to some degree?  isnt that one of the things that the surgery helps get rid of or improve?  why does it affect surgery ?   Thanks so much.
Bf516
on 8/28/12 3:13 pm
WLS's can help rid an obese person of sleep apnea.
However, it depends on what type of sleep apnea & the degree in which you have it.

Sleep apnea is also considered a comorbidity for insurance consideration.

The effect on surgery is making sure what settings are ready for you after surgery is over.
Lisa1023
on 8/28/12 3:38 pm
VSG on 03/05/13 with
oh i see.   I was diagnosed with it back around 2002 or 2003 and refused the CPAP at that time and never thought again about it.  i wasnt going to wear that machine blowing air up my nose, i felt like a slee stack.  there was just no way. 
jarabacoagirl
on 8/28/12 3:46 pm
VSG on 12/17/12 with
Hi I think it's my post your saw.  Part of preop testing is that they do a sleep study (usually).  In my case the surgeon does a sleep study only if you snore.  I wasn't sure whether or not I snore cause my husband tells me "I don't know occassionally."  So that's what I told the surgeon.  So he did not require a sleep study.  However after that I read a really scary story about a girl that surgery was not required to do a sleep study and she had very bad sleep apnea.  She died in recovery.  When you have sleep apnea it means you stop breathing in your sleep.  Also sometimes when you are breathing your oxgen levels can be too low.  I read she had a thick neck and her BMI wasn't much higher than my own.  I also have a thick neck.  17 inches around.   I heard any neck with a women over 16inchs and a man over 17 inchs should get tested. What happens is the anesthesia and recovery can make your oxgen levels even drop lower than they aready are.  I got the test.  I was only diagnosed with mild sleep apnea.  But that was enough for my surgeons nurses to decide that my surgery should be postponed until I get used to a cpap machine.  I'm getting the machine next week.  Than I have to use it for 1 month to get used to it.  Than I have to see a pulmalogist who will or will not clear me for surgery based on how well I get used to it.  My surgery was supposed to Oct 1st now it's probably not til Dec or Jan end of November at the earliest.  What stinks if I had the sleep study sooner (before the other tests) i would be used to the Cpap by now and not have had to postpone my surgery.  But it's my own fault because I did not accuratley tell the surgeon about my snoring since both my husband and my mom didn't think I do snore that much.  (According to the test I'm a heavy snorer.)  The number of times I stop breathing isn't that much.  It was that my oxgen can fall as low as 72% when I'm sleeping.  that's no good!  And could be worse under anesthsia.  Also remember in recovery for 6 to 8 weeks your lungs have to work a whole lot harder for you to breathe necessary to use the Cpap than.  I'm hoping after I recover and loose some weight I can stop using the machine.  . 

HW 302 lbs SW  279.8 lbs.  CW  193.8 lbs   MFP Jarabacoagirl  Preop diets 22.2 lbs, 1st month 21.2 lbs, 2nd month 14.6 lbs,  3rd month 11.2 lbs, 4th month 7 lbs, 5th month 7 lbs, 6th month 6.8 lbs, 7th month 5.2 lbs, 8th month 4.4 lbs 9 and 10th months slowed down didn't record exactly

108.2 lbs lost from highest weight!

 (86.2 lbs of that was lost since surgery date)

(deactivated member)
on 8/28/12 11:03 pm - FL
VSG on 10/05/12
 For me, it delayed it about a month and half for the insurance to be submitted. Of the many medical clearences for surgery that was requested, one was from the Pulmonary Specialist. 

At that visit, they did a chest X-Ray and a series of breathing test performed in something about the size of a phone booth. Those results were fine. However, since snoring was listed on my questionairre, he ordered a take home sleep test which I wore for 2 nights. This indicated severe sleep apnea, with an AHI of 29, and very loud snoring. Next was an overnight hospital CPAP titration test to determine the pressure levels for a CPAP machine. The scheduling of this took a few days, and another few days for the results to come back. Another visit to the Pulmonary Specialist, and I was fitted with a CPAP machine. I was required to be on the CPAP machine and show compliance for 3 weeks before he would sign my medical clearence.

I was told that each individual is different in how long it takes them to adjust to sleeping with the machine. Some patients take off the mask in the middle of the night. This adjustment period can be anywhere from a few days to several weeks. I accepted that I have severe sleep apnea, and that the machine was needed, and adjusted right away. My new AHI is 0.9 now. However, the Pulmonary Specialist and Bariatric Surgeon where at the same facility and had a set agreement of 3 weeks on the machine period.

That is how it delayed me. Someone already discussed the need for treating CPAP and how important it is.



Jenny S.
on 8/28/12 11:47 pm
I am on CPAP & have had it for about three years now.  I know I am a major snorer as an old boyfriend used to compain.  That was 8 years ago.  I was told I stop breathing & may need oxygen as well as the CPAP.  They did an overnight study in the hospital & put me on a high enough setting that I did not need to oxygen.  This is also something that has to do with heredety.  My mom has it as well as all of my siblings.  I had an uncle die from it some years ago from my mothers side of the family.  It is a serious issue not to be taken lightly.  There have been times when my mother has been hospitalized for different things & when she has had to stay over night they have always supplied her with a CPAP machine.  I hope this helps.  A few of the people in my options class at Kaiser raised their hands when the nurse asked about it.  It is not a reason Kaiser would turn anyone down...  
5' 2" 272 age 41