一个患有阻塞性睡眠呼吸暂停的患者的普罗福尔诱导的结:一个案例报告
Jaden Y Fang1, Tomohiro Yamamoto2, Satoshi Yamamoto1
1Anesthesiology, University of Texas Medical Branch, Galveston, USA.
Cureus
|January 13, 2025
概括
一名患有阻塞性睡眠呼吸暂停的患者在催眠神经刺激器手术的麻醉中经历了短暂的propofol诱导的束. 症状迅速消失,患者报告说手术后睡眠质量有所改善.
科学领域:
- 麻醉学 麻醉学
- 睡眠医学 睡眠医学
- 神经外科 神经外科
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 显著影响患者的健康和治疗选择.
- 持续正气道压力 (CPAP) 不耐受性需要使用替代的OSA管理策略.
- 低音神经刺激是一种新兴的手术干预,用于中度至重度的OSA.
研究的目的:
- 报告一例在全身麻醉期间由普罗波福尔诱导的结.
- 描述一个患有中度OSA的患者进行低分泌神经刺激器插入的管理.
- 突出CPAP不耐受OSA患者中低分泌神经刺激的安全性和有效性.
主要方法:
- 一名39岁的男性患者中度OSA和CPAP不耐受,接受了药物诱导睡眠内镜检查 (DISE).
- DISE显示了完全的耳鼻喉和耳鼻喉阻塞.
- 患者接受了全身麻醉,包括提供普罗波,用于低分泌神经刺激器植入.
主要成果:
- 在麻醉诱导过程中给予普罗波,会导致双边上肢的短暂的,类似于肌肉的结.
- 患者经历了平稳的诱导和从麻醉中出现.
- 手术后,患者报告睡眠质量和白天症状显著改善.
结论:
- 在OSA手术的麻醉期间,可能会发生由普罗波诱导的结.
- 低分泌神经刺激是CPAP不耐受,呼吸道完全阻塞的OSA患者的有效治疗方法.
- 这一案例强调了监测麻醉相关副作用的重要性,以及OSA手术干预的好处.
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