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It may be unsafe for patients with untreated severe OSA requiring postoperative narcotic to undergo ambulatory surgery.对于患有未经治疗的严重阻塞性睡眠呼吸暂停（OSA）且术后需要使用麻醉镇痛药的患者，进行门诊手术可能不安全。
J Clin Sleep Med. 2011 Feb 15;7(1):111; author reply 112-3.
2
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Perioperative management of obstructive sleep apnea.阻塞性睡眠呼吸暂停的围手术期管理。
Chest. 2010 Dec;138(6):1489-98. doi: 10.1378/chest.10-1108.
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Screening for Pediatric Obstructive Sleep Apnea before Ambulatory Surgery.门诊手术前小儿阻塞性睡眠呼吸暂停的筛查
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Postoperative Pain and Opioid Use After Thyroid and Parathyroid Surgery-A Pilot, Prospective SMS-Based Survey.甲状腺和甲状旁腺手术后的疼痛和阿片类药物使用情况：一项基于短信的前瞻性初步调查。
J Surg Res. 2019 Aug;240:236-240. doi: 10.1016/j.jss.2019.03.016. Epub 2019 Apr 17.
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Post-operative Weaning of Opioids After Ambulatory Surgery: the Importance of Physician Stewardship.术后门诊手术阿片类药物停药：医生管理的重要性。
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Patterns of opioid use and prescribing for outpatient anorectal operations.门诊肛肠手术中阿片类药物的使用模式及处方情况。
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Non-opioid analgesic modes of pain management are associated with reduced postoperative complications and resource utilisation: a retrospective study of obstructive sleep apnoea patients undergoing elective joint arthroplasty.非阿片类镇痛药在疼痛管理中的应用模式与减少术后并发症和资源利用有关：一项择期关节置换手术的阻塞性睡眠呼吸暂停患者的回顾性研究。
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Pain management after ambulatory surgery: a prospective, multicenter, randomized, double-blinded parallel controlled trial comparing nalbuphine and tramadol.门诊手术后的疼痛管理：一项比较纳布啡和曲马多的前瞻性、多中心、随机、双盲平行对照试验。
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Perioperative consideration of obstructive sleep apnea in ambulatory surgery.门诊手术中阻塞性睡眠呼吸暂停的围手术期考量
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Decreased Analgesic Requirements in Super Morbidly Versus Morbidly Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy.腹腔镜袖状胃切除术治疗超病态肥胖与病态肥胖患者的镇痛需求降低。
Obes Surg. 2020 Jul;30(7):2715-2722. doi: 10.1007/s11695-020-04559-4.
2
Ambulatory Surgery Has Minimal Impact on Sleep Parameters: A Prospective Observational Trial.门诊手术对睡眠参数的影响极小：一项前瞻性观察性试验。
J Clin Sleep Med. 2018 Apr 15;14(4):593-602. doi: 10.5664/jcsm.7052.
3
Pre-operative screening for obstructive sleep apnoea.阻塞性睡眠呼吸暂停的术前筛查
Eur Respir Rev. 2017 Jan 3;26(143). doi: 10.1183/16000617.0012-2016. Print 2017 Jan.
4
CPAP in the Perioperative Setting: Evidence of Support.围手术期持续气道正压通气：支持证据
Chest. 2016 Feb;149(2):586-597. doi: 10.1378/chest.15-1777. Epub 2016 Jan 12.
5
Obstructive Sleep Apnea and Surgery: Quality Improvement Imperatives and Opportunities.阻塞性睡眠呼吸暂停与手术：质量改进的必要性与机遇
Curr Otorhinolaryngol Rep. 2014 Mar 1;2(1):20-29. doi: 10.1007/s40136-013-0036-3.

本文引用的文献

1
The value of assessing risk of obstructive sleep apnea in surgical patients: it only takes one.评估外科手术患者阻塞性睡眠呼吸暂停风险的价值：只需一例。
J Clin Sleep Med. 2010 Oct 15;6(5):473-4.
2
Risk assessment of obstructive sleep apnea in a population of patients undergoing ambulatory surgery.门诊手术患者阻塞性睡眠呼吸暂停的风险评估。
J Clin Sleep Med. 2010 Oct 15;6(5):467-72.
3
Preoperative screening for obstructive sleep apnoea--one death is too many.
Anaesth Intensive Care. 2010 Sep;38(5):949; author reply 949-50. doi: 10.1177/0310057X1003800524.
4
Prevalence of undiagnosed obstructive sleep apnea among adult surgical patients in an academic medical center.在学术医疗中心的成年手术患者中，未诊断的阻塞性睡眠呼吸暂停的流行率。
Sleep Med. 2009 Aug;10(7):753-8. doi: 10.1016/j.sleep.2008.08.007. Epub 2009 Jan 30.
5
A systemic review of obstructive sleep apnea and its implications for anesthesiologists.阻塞性睡眠呼吸暂停及其对麻醉医生影响的系统评价。
Anesth Analg. 2008 Nov;107(5):1543-63. doi: 10.1213/ane.0b013e318187c83a.
6
STOP questionnaire: a tool to screen patients for obstructive sleep apnea.STOP问卷：一种用于筛查阻塞性睡眠呼吸暂停患者的工具。
Anesthesiology. 2008 May;108(5):812-21. doi: 10.1097/ALN.0b013e31816d83e4.
7
Preoperative identification of sleep apnea risk in elective surgical patients, using the Berlin questionnaire.使用柏林问卷对择期手术患者进行术前睡眠呼吸暂停风险识别。
J Clin Anesth. 2007 Mar;19(2):130-4. doi: 10.1016/j.jclinane.2006.08.006.
8
Unanticipated admission after ambulatory surgery--a prospective study.门诊手术后意外入院——一项前瞻性研究。
Can J Anaesth. 1998 Jul;45(7):612-9. doi: 10.1007/BF03012088.
9
The occurrence of sleep-disordered breathing among middle-aged adults.中年成年人睡眠呼吸障碍的发生情况。
N Engl J Med. 1993 Apr 29;328(17):1230-5. doi: 10.1056/NEJM199304293281704.

It may be unsafe for patients with untreated severe OSA requiring postoperative narcotic to undergo ambulatory surgery.

作者信息

Chung Frances

出版信息

J Clin Sleep Med. 2011 Feb 15;7(1):111; author reply 112-3.

PMID:21344050
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3041625/
Abstract
摘要