Paje Dama Theresa T, Kremer Michael J
Department of Anesthesiology, Northwestern Memorial Hospital, Chicago, IL, USA.
Orthop Nurs. 2006 Sep-Oct;25(5):291-7; quiz 298-9. doi: 10.1097/00006416-200609000-00003.
Patients with obstructive sleep apnea provide significant challenges to the perioperative team. This disorder is often undiagnosed and coexists with other disease processes such as hypertension, congestive heart failure, and cor pulmonale. The prevalence of obesity in American society suggests that an increasing number of patients with sleep apnea will present for surgery. During the perioperative period, life-threatening problems can occur during anesthetic induction and emergence. The pathophysiology of obstructive sleep apnea is reviewed here along with the anesthesia implications of this disease process. Members of the perioperative team need to be aware of the implications of sleep apnea so that surgical outcomes can be optimized.
阻塞性睡眠呼吸暂停患者给围手术期团队带来了重大挑战。这种疾病常常未被诊断出来，且与其他疾病过程并存，如高血压、充血性心力衰竭和肺心病。美国社会肥胖症的流行表明，越来越多的睡眠呼吸暂停患者将接受手术。在围手术期，麻醉诱导和苏醒期间可能会出现危及生命的问题。本文回顾了阻塞性睡眠呼吸暂停的病理生理学以及该疾病过程对麻醉的影响。围手术期团队成员需要了解睡眠呼吸暂停的影响，以便优化手术结果。
