相关实验视频

Updated: Jul 26, 2025

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

在阻塞性睡眠呼吸暂停人口中对功能性鼻腔手术的考虑

Caitlin Coviello¹, Sunthosh Kumar Sivam¹

¹Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas.

Facial plastic surgery : FPS

|June 16, 2023

概括

接受鼻腔手术的阻塞性睡眠呼吸暂停 (OSA) 患者需要仔细的术后管理. 尽量减少镇静剂和阿片类药物,以及个性化持续正气道压力 (CPAP) 在手术后使用,是安全恢复的关键.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
睡眠医学睡眠医学
麻醉学麻醉学

背景情况:

阻塞性睡眠呼吸暂停 (OSA) 和鼻腔阻塞是普遍存在的疾病.
这些情况经常由耳鼻喉科医生和面部整形外科医生来管理.
对接受鼻腔手术的OSA患者进行最佳的外科护理至关重要.

研究的目的:

为接受功能性鼻腔手术的OSA患者概述手术前,周围和术后的管理策略.
突出OSA患者的麻醉风险和呼吸道考虑因素.
为了指导临床医生在疼痛管理和CPAP使用手术后.

主要方法:

关于功能性鼻腔外科手术中OSA管理的当前文献和临床实践的审查.
讨论麻醉风险,手术考虑和术后护理.
强调外科医生,麻醉科医生和睡眠专家之间的多学科沟通.

主要成果:

OSA患者面临麻醉风险增加和呼吸道困难的可能性.
在大多数OSA患者中,多层次的呼吸道手术可以安全地进行.
建议尽量减少阿片类药物和镇静剂的使用,利用神经阻塞,并考虑阿片类药物替代品.
根据患者的因素,建议在手术后使用个性化的CPAP.

结论:

对OSA患者来说,对麻醉风险进行仔细的术前咨询是必不可少的.
外科医生必须与麻醉师合作制定呼吸道管理计划.
术后需要长时间的康复和明智地使用止痛药.
需要进一步的研究来完善OSA患者的术前和术后建议.

更多相关视频

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes

Published on: August 2, 2024

相关概念视频

Sleep Apnea

Sleep Apnea

Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...

Suctioning the Nasopharyngeal Airway

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required

Administering Oxygen by Nasal Cannula

Administering Oxygen by Nasal Cannula

Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...

Cardiopulmonary Resuscitation II: ACLS Airway Management

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...

Assessment of Airway, Skin Color, and Use of Accessory Muscles

Assessment of Airway, Skin Color, and Use of Accessory Muscles

A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...