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Many reports concerning anesthetic management in patients with obstructive sleep apnea syndrome (OSAS) have been addressed. 1 – 7 These underline the higher risks associated with general anesthesia in OSAS patients. Those risks of perioperative complications might cause physicians to limit their administration of pain and anxiety relief drugs in the perioperative period. We report the case of an OSAS patient who was managed with nasal continuous positive airway pressure (NCPAP) and treated safely with anesthetic and analgesic drugs

there were no significant differences. Concerning autonomic nerve activity during surgery, both sympathetic activity (SBP-LF, HR-LF/HF) and parasympathetic activity (HR-HF) reduced. However, there were no significant differences. Conclusions. These results suggest that inhalation anesthetics reduce autonomic nerve activity during surgery, and that SNP does not influence the sympathetic nervous system. Perioperative Management by Ncpap in Obstructive Sleep Apnea Patients Naoko Morimoto, Hirofumi Arisaka, Homare Kitahama