阻塞性睡眠呼吸暂停的周术管理:当前的主题和未来方向
Tom Chambers1,2, Harry Bamber3, Nanak Singh4
1Core Anaesthetic Trainee, London School of Anaesthesia.
Current opinion in pulmonary medicine
|August 30, 2023
概括
阻塞性睡眠呼吸暂停 (OSA) 具有显著的外科手术风险,特别是当未被诊断时. 阳性气道压力 (PAP) 治疗可以减轻这些风险,但患者的坚持仍然是一个挑战.
科学领域:
- 麻醉学 麻醉学
- 睡眠医学 睡眠医学
- 关键的护理关键的护理
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍且经常未被诊断的疾病.
- 患有OSA的患者在整个外科手术期间都会面临独特的挑战.
- 患者手术复杂性的增加加剧了与OSA相关的风险.
研究的目的:
- 在外科手术期间审查有关阻塞性睡眠呼吸暂停的当前文献.
- 突出在手术患者中与OSA相关的挑战和风险.
- 讨论接受手术的OSA患者的干预措施和管理策略.
主要方法:
- 关于OSA和外科手术期间护理的最新文献的综述.
- 关于OSA患者的术后风险的证据分析.
- 评估正气道压力 (PAP) 治疗的有效性和坚持.
主要成果:
- 在手术患者群体中,OSA的诊断不足显著.
- 患有OSA的患者面临较高的外科手术期间风险.
- 阳性气道压力 (PAP) 疗法有效降低外科手术期间的风险.
- 优化对PAP治疗的坚持是至关重要的,但具有挑战性.
结论:
- 未被诊断的OSA是一个主要的外科手术关键问题.
- 术后的PAP治疗可以减少术后并发症.
- 需要开发量身定制的外科手术周围途径,以识别和管理高风险患者.
- 需要进一步的证据来确定外科手术期间OSA管理的最佳策略.
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