患有阻塞性睡眠呼吸暂停 (OSA) 的患者的周围手术影响 - - 叙述性综述
Erin Tracy1, Cole Crandall1, Ana Grajales1
1Uniform Services University of the Health Sciences, Bethesda, MD, USA.
Future science OA
|August 1, 2025
概括
肥胖和阻塞性睡眠呼吸暂停 (OSA) 正在全球范围内上升,影响门诊手术. 本综述审查了OSA患者当前的术后指导方针,并讨论了他们在门诊护理中的挑战.
科学领域:
- 麻醉学 麻醉学
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 全球肥胖和阻塞性睡眠呼吸暂停 (OSA) 患病率的增加.
- 在全球范围内,外科手术在门诊机构中的趋势正在上升.
- 从ASA (2014) 和SASM (2016) 的术后OSA患者护理现有指南.
研究的目的:
- 审查目前对阻塞性睡眠呼吸暂停患者的术后护理建议.
- 识别应用现有指导方针对越来越多接受门诊手术的肥胖OSA患者的挑战.
- 评估2014/2016指南在当前的2024医疗保健环境中的可行性.
主要方法:
- 对当前指导方针和当代研究的文献综述.
- 分析肥胖,OSA和门诊外科手术趋势之间的交叉点.
- 讨论术后管理中的实际挑战.
主要成果:
- 来自ASA和SASM的指导方针为OSA患者护理提供了基础.
- 肥胖和OSA越来越普遍,这给门诊外科手术带来了独特的挑战.
- 在当前的门诊环境中,现有建议的可行性需要重新评估.
结论:
- 目前针对OSA患者的术后指导方针需要适应门诊环境.
- 解决在门诊外科手术中管理肥胖OSA患者的挑战至关重要.
- 为了获得最佳的患者结果,需要进一步的研究和更新的建议.
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