Rapid reduction of antihypertensive medications and insulin requirements after tracheostomy in a patient with severe obstructive sleep apnea syndrome

Arvind Bhimaraj, Navasuma Havaligi, Siva Ramachandran

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

We report a patient with severe obstructive sleep apnea syndrome, diabetes mellitus, and hypertension, with postoperative complications following tracheostomy. His stormy postoperative course is presented with emphasis on glycemic control and hypertension. We present a cautionary tale of a significant reduction in medications to control blood pressure and hyperglycemia following tracheostomy for severe OSA. The severe reduction in blood pressure and hypoglycemia could mimic sepsis and clinicans need to be vigilant to these dramatic effects following tracheostomy and appropriately adjust baseline medications.

Original languageEnglish (US)
Pages (from-to)297-299
Number of pages3
JournalJournal of Clinical Sleep Medicine
Volume3
Issue number3
DOIs
StatePublished - Apr 15 2007

Keywords

  • Hypertension
  • Insulin resistance
  • Sleep apnea

ASJC Scopus subject areas

  • Clinical Neurology
  • Pulmonary and Respiratory Medicine
  • Neurology

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