在进行门诊手术的阻塞性睡眠呼吸暂停患者的管理中,最好的术后实践
Ameya Pappu1,2, Mandeep Singh1,2
1Department of Anesthesia and Pain Management, University Health Network, University of Toronto.
Current opinion in anaesthesiology
|October 30, 2024
概括
在门诊手术中,阻塞性睡眠呼吸暂停 (OSA) 需要更新策略. 风险分层和在手术期间和之后的仔细监测可以减少OSA患者的并发症.
科学领域:
- 麻醉学 麻醉学
- 睡眠医学 睡眠医学
- 手术护理 手术护理
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 的患病率在接受门诊手术的患者中正在上升.
- 现有的围绕手术的管理策略需要更新,以应对当前的挑战.
- 改善结果和减少并发症需要修改方法.
研究的目的:
- 审查和更新进行门诊手术的阻塞性睡眠呼吸暂停 (OSA) 患者的术后治疗策略.
- 突出风险分层和定制干预措施的重要性.
- 强调需要加强患者安全和结果的必要性.
主要方法:
- 关于在门诊外科手术中OSA管理的最新研究和文献的综述.
- 对风险分层工具的分析,如STOP-Bang.
- 对手术内和手术后的管理方案的评估.
主要成果:
- 高风险的OSA与术后并发症的增加有关.
- 区域麻醉和仔细监测神经肌肉阻塞在手术期间是有益的.
- 持续的术后监测对于预防阿片类药物诱导的呼吸抑制至关重要.
结论:
- 多学科的方法对于在门诊手术中管理OSA至关重要.
- 手术前查,量身定制的手术内技术和警的术后监测是关键.
- 实施基于证据的指导方针和协议可以提高患者的安全性和结果.
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