Tracy Erin, Crandall Cole, Grajales Ana, Plunkett Anthony
Uniform Services University of the Health Sciences, Bethesda, MD, USA.
Womack Army Medical Center, Ft. Bragg, NC, USA.
Future Sci OA. 2025 Dec;11(1):2540744. doi: 10.1080/20565623.2025.2540744. Epub 2025 Aug 1.
The prevalence of obesity and OSA are increasing world-wide. Concomitantly, the number of surgical procedures being performed in an outpatient setting is increasing. Both the American Society of Anesthesiology (ASA) and the Society of Anesthesia and Sleep Medicine (SASM) have published guidelines for the perioperative care of the OSA patient. These guidelines were published in 2014 and 2016, respectively. While they serve as an excellent resource for the perioperative management of the OSA patient, the increasing number of obese, OSA patients having procedures performed in the ambulatory setting call into question the feasibility of some of these recommendations in 2024. This review highlights the current recommendations as well as the challenges in caring for the OSA patient in the perioperative setting.
肥胖症和阻塞性睡眠呼吸暂停（OSA）的患病率在全球范围内都在上升。与此同时，门诊手术的数量也在增加。美国麻醉医师协会（ASA）和麻醉与睡眠医学协会（SASM）都发布了OSA患者围手术期护理指南。这些指南分别于2014年和2016年发布。虽然它们是OSA患者围手术期管理的优秀资源，但2024年越来越多在门诊进行手术的肥胖OSA患者使其中一些建议的可行性受到质疑。本综述强调了当前的建议以及围手术期护理OSA患者面临的挑战。
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