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Perioperative Implications of Obstructive Sleep Apnea

      Obstructive sleep apnea (OSA) was first described by novelist Charles Dickens in The Posthumous Papers of the Pickwick Club, published in 1937. The character Joe was an obese boy who was constantly hungry, red in the face, and always falling asleep in the middle of his duties. Dickens [
      • Dickens C.
      • Seymour R.
      • Browne H.K.
      The posthumous papers of the Pickwick Club.
      ] writes:The object that presented itself to the eyes of the astonished clerk was a boy—a wonderfully fat boy—habited as a serving lad, standing upright on the mat, with his eyes closed as if in sleep. ‘Sleep!’ said the old gentleman, ‘he’s always asleep. Goes on errands fast asleep, and snores as he waits at tables.’ ‘How very odd!’ said Mr Pickwick. ‘Ah! Odd indeed,’ returned the old gentleman; ‘I’m proud of that boy—wouldn’t part with him on any account—he’s a natural curiosity!’.
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