Stundner Ottokar, Opperer Mathias, Memtsoudis Stavros G
Department of Anesthesiology, Perioperative Medicine & Intensive Care Medicine, Paracelsus Medical University, Salzburg, Austria.
Pain Manag. 2015;5(1):37-46. doi: 10.2217/pmt.14.46.
Obstructive sleep apnea (OSA) represents a challenge in the perioperative period for both physicians and the health care system alike. A number of studies have associated OSA with increased risk for postoperative complications. This is of particular concern in the face of this disease remaining vastly underdiagnosed. In this context, current guidelines and established concepts such as the use of continuous positive airway pressure or the level of postoperative monitoring, lack strong scientific evidence. Other interventions such as the use neuraxial/regional anesthesia may however offer added benefit. This review aims to address considerations for physicians in charge of OSA patients in the perioperative setting and to give an outlook for current and future research on this topic.
阻塞性睡眠呼吸暂停（OSA）对医生和医疗保健系统而言都是围手术期面临的一项挑战。多项研究已将OSA与术后并发症风险增加联系起来。鉴于这种疾病仍远未得到充分诊断，这一点尤其令人担忧。在此背景下，目前的指南以及诸如使用持续气道正压通气或术后监测水平等既定概念缺乏有力的科学证据。然而，其他干预措施，如使用神经轴/区域麻醉，可能会带来额外益处。本综述旨在探讨围手术期负责OSA患者的医生应考虑的问题，并对该主题当前和未来的研究进行展望。
