Meoli Amy Lynn, Rosen Carol L, Kristo David, Kohrman Michael, Gooneratne Nalaka, Aguillard Robert Neal, Fayle Robert, Troell Robert, Kramer Ronald, Casey Kenneth R, Coleman Jack
St. John's Regional Medical Center, Joplin, MO, USA.
Sleep. 2003 Dec 15;26(8):1060-5. doi: 10.1093/sleep/26.8.1060.
To help practitioners avoid adverse perioperative events in patients with obstructive sleep-disordered breathing.
Members of the American Academy of Sleep Medicine's Clinical Practice Review Committee.
A search of MEDLINE database using MeSH terms apnea, obstructive sleep apnea and anesthesia was conducted in October 2001. This review focuses on articles published in English between 1985 and 2001 that pertain to non-upper airway surgery in obstructive sleep apnea patients.
Scientific literature regarding the perioperative risk and best management techniques for OSAHS patients is scanty and of limited quality. There is insufficient information to develop an AASM standards of practice recommendation. Therefore, the Clinical Practice Review Committee (CPRC) used the available data to make this statement based upon a consensus of clinical experience and published peer-reviewed medical evidence. Important components of the perioperative management of OSAHS patients include a high degree of clinical suspicion, control of the airway throughout the perioperative period, judicious use of medications, and appropriate monitoring. Further research is needed to define the magnitude of risk and optimal perioperative care.
帮助从业者避免阻塞性睡眠呼吸障碍患者围手术期出现不良事件。
美国睡眠医学学会临床实践评审委员会成员。
2001年10月使用医学主题词“呼吸暂停”“阻塞性睡眠呼吸暂停”和“麻醉”对MEDLINE数据库进行检索。本综述重点关注1985年至2001年间发表的、与阻塞性睡眠呼吸暂停患者非上呼吸道手术相关的英文文章。
关于阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者围手术期风险和最佳管理技术的科学文献稀少且质量有限。没有足够的信息来制定美国睡眠医学学会的实践标准建议。因此，临床实践评审委员会（CPRC）根据临床经验的共识和已发表的同行评审医学证据，利用现有数据做出了本声明。OSAHS患者围手术期管理的重要组成部分包括高度的临床怀疑、围手术期全程气道控制、谨慎使用药物以及适当的监测。需要进一步研究来确定风险程度和最佳围手术期护理。
