Latham Kimberly, Bird Tamera, Burke Joyce
J Perianesth Nurs. 2018 Feb;33(1):23-27. doi: 10.1016/j.jopan.2016.01.002. Epub 2017 Feb 28.
Managing patients with undiagnosed Obstructive Sleep Apnea (OSA) can be a challenge in the postoperative phase. OSA is a chronic disease defined by pauses in breathing that are repetitive during sleep that can last for one minute or longer. This can occur more than five times in an hour. As many as 80-90% of patients undergoing elective surgery have undiagnosed sleep apnea and an increased risk of respiratory complications postoperatively. Capnography is a monitoring tool that can detect increases in end-tidal carbon dioxide levels, which is a sign of respiratory decline.
在术后阶段管理未确诊阻塞性睡眠呼吸暂停(OSA)的患者可能具有挑战性。OSA是一种慢性疾病,其定义为睡眠期间反复出现的呼吸暂停,每次呼吸暂停可持续一分钟或更长时间。这种情况每小时可能发生超过五次。多达80-90%接受择期手术的患者患有未确诊的睡眠呼吸暂停,术后发生呼吸并发症的风险增加。二氧化碳图是一种监测工具,可检测呼气末二氧化碳水平的升高,这是呼吸功能下降的迹象。