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SEPTEMBER 20, 2020

SNOR and the Evolution of the SNORTAL

James P. Noble, MD
Solo Anesthesiologist
Associates for Surgical Care
Vero Beach, Fla.

In 1999, SNOR was introduced. An acronym for the syndrome of narcogenic obstructed respiration,1 it was an attempt to focus attention on a practical approach to anesthesia airway management. The perioperative usefulness of nasal continuous positive airway pressure (n-CPAP) had escaped the notice of most anesthesia providers in the 1990s. Although obstructive sleep apnea (OSA) and SNOR are anatomically comparable,