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植入舌下神经刺激器患者的麻醉注意事项:一例报告

Anesthetic Implications for Patients With Implanted Hypoglossal Nerve Stimulators: A Case Report.

作者信息

Soberon Jose R, Murray Casanova Irina, Wright Jonathan

机构信息

Anesthesiology, North Florida/Southern Georgia Veterans Health System, Gainesville, USA.

Anesthesiology, University of Florida, Gainesville, USA.

出版信息

Cureus. 2022 Jan 19;14(1):e21424. doi: 10.7759/cureus.21424. eCollection 2022 Jan.

DOI:10.7759/cureus.21424
PMID:35198329
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8856631/
Abstract

Obstructive sleep apnea is a serious health issue affecting more than one billion people worldwide. Although continuous positive airway pressure is the mainstay for the treatment of obstructive sleep apnea, hypoglossal nerve stimulation is a surgical option for patients who are unable to tolerate or adhere to this therapy. As more hypoglossal nerve stimulators are implanted, these patients will present with increasing frequency for medical procedures requiring general anesthesia or deep sedation. We describe our experience with one such patient and hope this information can be used to develop future guidelines to aid in the anesthetic management of these patients.

摘要

阻塞性睡眠呼吸暂停是一个严重的健康问题,影响着全球超过10亿人。尽管持续气道正压通气是治疗阻塞性睡眠呼吸暂停的主要方法,但舌下神经刺激术是无法耐受或坚持这种治疗的患者的一种手术选择。随着越来越多的舌下神经刺激器被植入,这些患者因需要全身麻醉或深度镇静的医疗程序而就诊的频率将会增加。我们描述了我们对一名此类患者的经验,并希望这些信息可用于制定未来的指南,以帮助对这些患者进行麻醉管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d191/8856631/49a86db6d047/cureus-0014-00000021424-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d191/8856631/107673e58554/cureus-0014-00000021424-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d191/8856631/7fb91139cfba/cureus-0014-00000021424-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d191/8856631/49a86db6d047/cureus-0014-00000021424-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d191/8856631/107673e58554/cureus-0014-00000021424-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d191/8856631/7fb91139cfba/cureus-0014-00000021424-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d191/8856631/49a86db6d047/cureus-0014-00000021424-i03.jpg

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Perioperative Management of the Patient With Obstructive Sleep Apnea: A Narrative Review.围手术期阻塞性睡眠呼吸暂停患者的管理:叙述性综述。
Anesth Analg. 2021 May 1;132(5):1231-1243. doi: 10.1213/ANE.0000000000005444.
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Hypoglossal Nerve (Cranial Nerve XII) Stimulation.舌下神经(第十二对脑神经)刺激
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Hypoglossal nerve stimulation long-term clinical outcomes: a systematic review and meta-analysis.舌下神经刺激的长期临床结局:系统评价和荟萃分析。
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Upper Airway Stimulation for Obstructive Sleep Apnea: 5-Year Outcomes.上气道刺激治疗阻塞性睡眠呼吸暂停:5 年随访结果。
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Vascular and neoplastic risk in a large cohort of patients with polycythemia vera.一大群真性红细胞增多症患者的血管和肿瘤风险
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