Department of Anesthesiology, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst St, McL 2-405, Toronto, ON, M5T 2S8, Canada.
Toronto Sleep and Pulmonary Centre, Toronto, ON, Canada.
Can J Anaesth. 2018 Jan;65(1):60-75. doi: 10.1007/s12630-017-0988-8. Epub 2017 Oct 30.
There is increased interest in the perioperative management of patients with sleep-disordered breathing (SDB). Anesthesiologists must distill information from clinical reports to make key decisions for optimizing perioperative care. A patient with SDB may present with a sleep study report at the time of surgery. Knowledge of the essential components of such a report can help the anesthesiologist evaluate the patient and optimize the perioperative management. In this narrative review, we describe how level I (i.e., laboratory-based) polysomnography (PSG) data are collected and scored using the recommended scoring guidelines, as well as the basic information and salient features of a typical PSG report relevant to the anesthesiologist. In addition, we briefly review the indications for sleep studies, including the types of laboratory-based studies, as well as the role and limitations of portable monitors (level II-IV studies) and examples of PSG reports in the clinical context.
人们对睡眠呼吸障碍（SDB）患者的围手术期管理越来越感兴趣。麻醉师必须从临床报告中提取信息，为优化围手术期护理做出关键决策。患有 SDB 的患者可能会在手术时提交睡眠研究报告。了解此类报告的基本内容可以帮助麻醉师评估患者并优化围手术期管理。在这篇叙述性综述中，我们描述了如何使用推荐的评分指南收集和评分一级（即基于实验室的）多导睡眠图（PSG）数据，以及与麻醉师相关的典型 PSG 报告的基本信息和显著特征。此外，我们还简要回顾了睡眠研究的适应证，包括基于实验室的研究类型，以及便携式监测仪的作用和局限性（二级-IV 级研究），并在临床环境中举例说明了 PSG 报告。
