Case 7 involved an 8-year-old girl with a diagnosis of ventricular septal defect. She presented to the ICU as intubated after ventricular septal defect (VSD) closure. She was on 7.4mcg/kg/min dopamine, 8mcg/kg/hr dobutamine, and 0.08mcg/kg/min adrenalin support postoperatively. She received a 1mg/hr midazolam infusion for 14 hours and a 0.15mg/kg/hr tramadol infusion for 23 hours. After 24 hours, her pupils were dilated and an epidural hemorrhage and shift were detected in her cranial computational tomography (CT) scan, after which the epidural hemorrhage was extracted. Despite the lack of sedative administration for the first 96 postoperative hours, she was sedated and the conditions of her pupils did not change. A reverse flow was detected in her carotid Doppler scan but no intracerebral hemorrhage was detected in her cerebral angiogram. At 98 postoperative hours, she performed the standard apnea test and her ApneaLink™ recordings were made simultaneously. Due to the desaturation occurring at the end of the apnea test that lasted 4 minutes and 38 seconds, continuous positive airway pressure (CPAP) treatment was applied. Her PaCO2 value increased from 45 to 75mmHg and the ApneaLink™ showed that there was no respiratory effort present. This demonstrated that the presence of apnea can be seen and recorded by ApneaLink™ during the apnea test.
Case 2 involved a 65-year-old man with no known medical history and a diagnosis of rectal cancer. He had a BMI of 20.3kg/m2, an ESS score of 2, and was scheduled for a laparoscopic abdominal surgery. One day prior to the surgery, he performed an apnea test via ApneaLink™ between 00:00 and 06:00 am, which yielded the following results: AHI: 22/hr, AI: 0/hr, HI: 22/hr; ODI: 3/hr, min. SpO2 86%, and max. HR: 108/min. A decision was made for postoperative ICU follow-up of the patient.\nFollowing the two-hour long surgery, the intubated patient was admitted to the ICU, where he was extubated at the second hour and given O2 mask support (5L/min). The results of the apnea test conducted on the operation day between 00:00 and 06:00 am were as follows: AHI: 38/hr, AI: 0/hr, HI: 38/hr, ODI: 1/hr, min. SpO2: 81%, and max. HR: 101/min. It was decided that he should be scheduled for postoperative non-invasive mechanical ventilation (NIMV) support (Table ).