STOP-BANG (OSA screening)

8-item validated OSA screening. Score ≥ 3 intermediate risk, ≥ 5 high risk.

S — Snoring loudly (heard through closed door)

Louder than talking, or loud enough to be heard through closed door

T — Tired / fatigued during the day

Often feel tired, fatigued, or sleepy

O — Observed apnea

Anyone has observed you stop breathing during sleep

P — high blood Pressure

Treated for high BP

B — BMI > 35

A — Age > 50

N — Neck circumference > 40 cm (16 in)

Measured around Adam's apple

G — Male gender

Result

0 / 8

Low OSA risk

Anesthesia implications:high STOP-BANG → consider postop monitored bed, opioid-sparing technique, CPAP if home user, careful airway management. Modified RSI for BMI > 35 + GERD. Education only.