Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Best Pract Res Clin Anaesthesiol. 2023 Sep;37(3):317-330. doi: 10.1016/j.bpa.2022.11.004. Epub 2022 Dec 1.
Obesity and obstructive sleep apnea are considered independent risk factors that can adversely affect perioperative outcomes. A combination of these two conditions in the ambulatory surgery patient can pose significant challenges for the anesthesiologist. Nevertheless, these patients should not routinely be denied access to ambulatory surgery. Instead, patients should be appropriately optimized. Anesthesiologists and surgeons must work together to implement fast-track anesthetic and surgical techniques that will ensure successful ambulatory outcomes.
肥胖症和阻塞性睡眠呼吸暂停被认为是独立的危险因素，可对围手术期结局产生不利影响。在门诊手术患者中，如果同时存在这两种情况，会给麻醉师带来重大挑战。然而，这些患者不应被常规拒绝接受门诊手术。相反，应适当优化患者状况。麻醉师和外科医生必须共同努力，实施快速通道麻醉和外科技术，以确保门诊手术的成功结局。
