门诊手术中阻塞性睡眠呼吸暂停的围手术期考量
Perioperative consideration of obstructive sleep apnea in ambulatory surgery.
作者信息
Raveendran Raviraj, Chung Frances
机构信息
Department of Anesthesiology, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, Toronto, Ontario M5T2S8, Canada.
Department of Anesthesiology, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, Toronto, Ontario M5T2S8, Canada.
出版信息
Anesthesiol Clin. 2014 Jun;32(2):321-8. doi: 10.1016/j.anclin.2014.02.011.
The prevalence of obstructive sleep apnea (OSA) is increasing and a significant number of patients with OSA are undiagnosed. The suitability of ambulatory surgery in patients with OSA remains controversial, and the evidence regarding the safety of ambulatory surgery for patients with OSA is limited. Preoperative screening and careful selection of patients for ambulatory surgery is the most important step. Patients diagnosed and suspected of having OSA should be managed with a systematic algorithm to improve outcomes.
阻塞性睡眠呼吸暂停（OSA）的患病率正在上升，大量OSA患者未被诊断出来。门诊手术对OSA患者的适用性仍存在争议，关于OSA患者门诊手术安全性的证据有限。术前筛查并仔细挑选适合门诊手术的患者是最重要的步骤。已诊断和疑似患有OSA的患者应采用系统的算法进行管理，以改善治疗效果。
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