Genzwuerker Harald V, Meinhardt Juergen
Clinic of Anaesthesiology and Intensive Care Medicine, University Hospital Mannheim, Germany.
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2006;5:Doc05. Epub 2006 Oct 5.
Patients with sleep apnea syndromes pose several challenges to the anaesthetist. These are resulting from comorbidity, but mainly from special requirements for pre-, intra- and postoperative management.Frequently, the diagnosis is not known or not diagnosed adequately, making careful preoperative evaluation of the patient by the anaesthetist imperative to identify patients at risk. Besides cardiovascular complications, problems with airway maintenance must be expected, calling for adequate planning. Several general considerations for anaesthesiologic management should be taken into account. The use of short acting pharmacologic agents is recommended to reduce the risk of postoperative episodes of hypoxia following general anaesthesia.Close cooperation of anaesthesia and the surgical specialties involved is the basis for safe management of patients with sleep related syndromes.
睡眠呼吸暂停综合征患者给麻醉医生带来了诸多挑战。这些挑战源于合并症，但主要源于术前、术中和术后管理的特殊要求。通常，诊断不明确或诊断不充分，因此麻醉医生在术前对患者进行仔细评估以识别高危患者至关重要。除了心血管并发症外，还可能出现气道维持问题，这就需要进行充分的规划。麻醉管理应考虑几个一般因素。建议使用短效药物以降低全身麻醉后术后缺氧发作的风险。麻醉与相关外科专业的密切合作是安全管理睡眠相关综合征患者的基础。
