Literature Evaluation Table

Literature Evaluation Table
Student Name:
Summary of Clinical Issue (200-250 words):
Obstructive sleep apnea is prevalent in the bariatric surgical population. It is a condition that is characterized by periodic apnea or
hypopnea of breathing as a result of narrowing of the upper airway when one is sleep. It is the reoriented breathing patterns the leads
to hypoxia and sleeps disturbances, thereby preventing restful sleep (Ingles et al., 2016). The signs and symptoms of this condition
may be characterized by loud snoring, daytime drowsiness, ability to fall asleep quickly and restlessness and periods of apnea while
sleeping (Shin, et al., 2016). Obstructive sleep apnea may be treatment with ventilator an excellent example being the continuous
positive airway pressure machine. It is also evidenced by various researches that Bariatric operations or major abdominal surgery and
weight loss are effective in reducing the symptoms of the condition.
Major abdominal surgery is linked with various numbers of serious complications that may hinder the process of patient recovery.
In particular, postoperative pulmonary complications, including respiratory complications like atelectasis and pneumonia, are some of
the key contributors to postoperative morbidity, which may even cause an increase in the rate of mortality (Subramani et al., 2017).
Continuous positive airway pressure is a treatment approach that involves the use of high-pressure gas, which delivers constant
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positive pressure to the airways during expiration and inspiration process. The approach plays a crucial role in the prevention of some
pulmonary complications, thereby reducing the mortality rate (Bossley et al., 2016).
PICOT Question:
For bariatric patients with obstructive sleep apnea (OSA)(P) does the use of Continuous Positive Airway Pressure (CPAP) (I) reduce
postoperative adverse events (O) compared with no-CPAP (C).
Population/Patient Problem: Bariatric surgical patients with OSA.
Intervention: CPAP compliant pre-operatively and post-operatively
Comparison: No preoperative use of positive pressure.
Outcome: The number of admissions or length of stay in intensive care.
Time: No adverse event 30 days post-operatively
Criteria Article 1 Article 2 Article 3
APA-
Formatted
Article
Citation with
Permalink
Subramani, Y., Nagappa, M.,
Wong, J., Patra, J., & Chung,
F. (2017). Death or near-
death in patients with
obstructive sleep apnoea: a
Nagappa, M., Mokhlesi, B., Wong,
J., Wong, D. T., Kaw, R., & Chung,
F. (2015). The effects of continuous
positive airway pressure on
postoperative outcomes in
Ingles, M. J. A., Martinez, M. M.,
Alvarado, D. M., Cepeda, M. G.,
Martinez, M. D. C. A., Martinez, P. M.,..
& Moncada, J. R. (2016). Complications
of bariatric surgery in morbid obesity in
2

compendium of case reports
of critical
complications. BJA: British
Journal of
Anaesthesia, 119(5), 885-
899.
https://bjanaesthesia.org/
article/S0007-
0912(17)53901-X/pdf
obstructive sleep apnea patients
undergoing surgery: a systematic
review and meta-analysis. Anesthesia
& Analgesia, 120(5), 1013-1023.
https://www.ncbi.nlm.nih.gov/
pubmed/25899270
patients with obstructive sleep apnea
syndrome.
https://erj.ersjournals.com/content/48/
suppl_60/PA2385
How Does the
Article Relate
to the PICOT
Question?
It answers the question of the
PICOT
It answers the question of the PICOT It answers the question of the PICOT
Quantitative,
Qualitative
(How do you
know?)
Quantitative, the study helps
to develop ideas or
hypothesis.
Quantitative, the study helps to
develop ideas or hypothesis.
Qualitative, the study includes participant
observation
Purpose
Statement
To determine the risk factors
for perioperative critical
complications in individuals
with OSA.
To find out the effectiveness of
continuous positive airway pressure
in reducing the risk of postoperative
effects with OSA patients
To evaluate which factors might influence
the postoperative complications of patients
undergoing bariatric surgery, and its
possible relationship with the diagnosis of
OSAS.
Research
Question
What are the risk factors for
perioperative critical
complications in individuals
with OSA?
What are the effects of CPAP on
postoperative outcomes among
patients with OSA?
What are the complications of bariatric
surgery in morbid obesity in patients with
OSA?
Outcome Continuous postoperative
monitoring may reduce the
risk
No difference in postoperative
adverse events between and CPAP
and CPAP therapy.
Setting
(Where did
Canada USA UK
3