Şanlı Mukadder, Toplu Yüksel, Özgül Ülkü, Kayhan Gülay Erdoğan, Gülhaş Nurçin
Department Anaesthesiology and Reanimation, İnönü University Faculty of Medicine, Malatya, Turkey.
Department of Ear, Nose, Throat, İnönü University Faculty of Medicine, Malatya, Turkey.
Turk J Anaesthesiol Reanim. 2014 Aug;42(4):230-2. doi: 10.5152/TJAR.2014.45822. Epub 2014 Aug 1.
The anaesthetic management of adenotonsillectomy in children with obstructive sleep apnoea syndrome is characteristic due to respiratory and cardiac side effects. A detailed physical examination in the preoperative period should be performed, including children's respiratory and cardiac systems. If they have an active infection, surgery should be postponed until the end of medical treatment. Preparation for difficult airway management should be done in the preoperative period. In this case, we presented a report of two children who had obstructive sleep apnoea syndrome, with airway management performed at the right lateral position to prevent the pharyngeal collapse and rapid sequence intubation performed using a short-acting muscle relaxant.
由于呼吸和心脏方面的副作用，阻塞性睡眠呼吸暂停综合征患儿的腺样体扁桃体切除术的麻醉管理具有特殊性。术前应进行详细的体格检查，包括患儿的呼吸和心脏系统。如果他们有活动性感染，手术应推迟到治疗结束。术前应做好困难气道管理的准备。在本病例中，我们报告了两名患有阻塞性睡眠呼吸暂停综合征的患儿，气道管理采用右侧卧位以防止咽部塌陷，并使用短效肌肉松弛剂进行快速顺序插管。
