在门诊手术中心进行的阻塞性睡眠呼吸暂停病例的有效性和安全性
Samantha M Shave1, Phoebe Yu1, Victoria Caruso1
1Massachusetts Eye and Ear, Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts, USA.
The Laryngoscope
|August 26, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 程序在门诊手术中心 (ASC) 是安全的,显示恢复时间缩短. 需要进一步的研究来确定患者是否适合进行门诊OSA手术.
科学领域:
- 耳鼻喉科
- 睡眠医学
- 门诊外科手术
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 增加了外科手术期间的风险.
- 传统上,OSA手术需要住院.
- 门诊手术中心 (ASC) 有潜力提高效率.
研究的目的:
- 将ASC和医院手术室的OSA程序的效率和安全性进行比较.
- 评估药物诱导睡眠内镜 (DISE),扩张喉膜整形 (EP),下神经刺激 (HGNS) 和隔膜整形的结果.
- 根据手术地点评估室内时间,康复时间和并发症.
主要方法:
- 这是一项回顾性队列研究,包括1273名接受DISE,HGNS,EP,桃体切除术或隔膜整形的患者.
- 程序在2021年1月至2023年7月期间在一个学术中心进行.
- 在ASC和HOR设置之间比较患者特征,入室时间,康复室时间和并发症.
主要成果:
- 在ASC和HOR患者之间没有显著的人口差异,但HOR患者的BMI较高.
- 在操作室的时间相似,HGNS在HOR略长.
- 所有手术的复苏时间都显著缩短.
- 这两种情况都显示出30天再入院和急诊率非常低.
结论:
- 分析的OSA程序可以在ASC安全地执行.
- 在OSA手术中,ASC可显著减少麻醉后护理单位 (PACU) 的时间.
- 需要进一步的研究来确定安全的门诊OSA手术的患者标准.
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