Uvular Edema Secondary to Snoring Under Deep Sedation

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Uvular Edema Secondary to Snoring Under Deep Sedation
Anesthesia Progress
Volume 53, Issue 1 (Spring 2006)

Robert J. Miller, DO*, Mark A. Gerhardt, MD, PhD‹
* Department of Surgery, Wright State University, Dayton, Ohio
‹ Department of Anesthesiology, The Ohio State University Medical Center, Columbus, Ohio

A 57-year-old male with a documented history of obstructive sleep apnea with loud snoring received deep intravenous sedation with midazolam, fentanyl, ketamine, and propofol infusion and a left interscalene brachial plexus nerve block for a left biceps tendon repair. Loud snoring during the case was noted. On the second postoperative day, he was observed to have significant uvular edema. After due consideration of the various elements in the differential diagnosis, it was concluded that negative pressure trauma from deep snoring during the sedation was the most likely etiology.

Keywords: Uvular edema, Obstructive sleep apnea, Deep sedation, Negative pressure edema

Received: January 3, 2005; Accepted: September 27, 2005

DOI: 10.2344/0003-3006(2006)53[13:UESTSU]2.0.CO;2

Address correspondence to Mark A. Gerhardt, MD, PhD, Department of Anesthesiology, The Ohio State University Medical Center, N416 Doan Hall, 410 West 10th Avenue, Columbus, OH 43210-1228; mark.gerhardt@osumc.edu.

© 2007 The American Dental Society of Anesthesiology