阻塞性睡眠呼吸暂停和非心脏手术后术后并发症的风险
Rabail Arif Chaudhry1, Lori Zarmer1, Kelly West2
1Department of Anesthesiology and Pain Medicine, Banner University Medical Center, University of Arizona COM-T, Tucson, AZ 85724, USA.
阻塞性睡眠呼吸暂停 (OSA) 复杂化了手术,增加了风险. 早期查和量身定制的术后护理,包括仔细的麻醉和监测,对于患者的安全和更好的结果至关重要.
科学领域:
- 麻醉学 麻醉学
- 睡眠医学 睡眠医学
- 心脏呼吸系统医学 呼吸系统医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 影响全球22.6%,通常未被诊断.
- OSA增加心脏和呼吸系统术后并发症的风险.
- 麻醉剂和阿片类药物在OSA患者中构成独特的挑战.
研究的目的:
- 审查患有阻塞性睡眠呼吸暂停的患者的术后管理.
- 突出挑战,并推优化患者治疗结果的策略.
- 强调需要改进查和风险预测.
主要方法:
- 对OSA外科手术期间管理的当前文献的综述.
- 对OSA患者麻醉剂,镇静剂和镇痛剂影响的分析.
- 讨论术后监测和护理策略.
主要成果:
- 术前查对于识别高风险患者至关重要.
- 建议使用区域麻醉和多模式止痛.
- 通过像PAP疗法这样的策略进行警的术后监测至关重要.
结论:
- 需要一个多维的方法来管理OSA患者的外科手术.
- 需要有效的查和风险预测算法.
- 优化术后护理可以最大限度地减少OSA患者的不良结果.
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