用户名: 密码: 验证码:
OSA患者围手术期气道管理
详细信息    查看全文 | 推荐本文 |
  • 英文篇名:Perioperative airway management of OSA patients
  • 作者:肖水芳 ; 杜晓婉 ; 张俊波
  • 英文作者:XIAO Shuifang;DU Xiaowan;ZHANG Junbo;
  • 关键词:睡眠呼吸暂停 ; 阻塞性 ; 围手术期 ; 气道管理
  • 英文关键词:sleep apnea,obstructive;;perioperative period;;airway management
  • 中文刊名:LCEH
  • 英文刊名:Journal of Clinical Otorhinolaryngology Head and Neck Surgery
  • 机构:北京大学第一医院耳鼻咽喉头颈外科;
  • 出版日期:2019-03-27 14:01
  • 出版单位:临床耳鼻咽喉头颈外科杂志
  • 年:2019
  • 期:v.33;No.480
  • 语种:中文;
  • 页:LCEH201904003
  • 页数:3
  • CN:04
  • ISSN:42-1764/R
  • 分类号:12-14
摘要
<正>OSA是一种常见的慢性疾患,在接受各类手术的成年患者中,其发生率可达10%~20%,在接受减重手术的患者中甚至可高达70%~([1-2])。OSA本身与围手术期安全密切相关,其被认为是多种围手术期并发症风险增加的独立预测因素,其同样与计划外ICU转入、经济医疗成本增加、甚至围手术期死亡等不良事件密切相关~([2-3]),因此,对OSA患者围手术期的足够重视及合理的临床决策意义重大。作为一种上气道疾病,正确的气道管理被认为可降低与OSA相关的各类围手
        
引文
[1] AYAS N T,LARATTA C R,COLEMAN J M,et al.Knowledge Gaps in the Perioperative Management of Adults with Obstructive Sleep Apnea and Obesity Hypoventilation Syndrome.An Official American Thoracic Society Workshop Report[J].Ann Am Thorac Soc,2018,15:117-126.
    [2] VASU T S,GREWAL R,DOGHRAMJI K.Obstructive sleep apnea syndrome and perioperative complications:a systematic review of the literature[J].J Clin Sleep Med,2012,8:199-207.
    [3] TAMISIER R,FABRE F,O'DONOGHUE F,et al.Anesthesia and sleep apnea[J].Sleep Med Rev,2018,40:79-92.
    [4] EASTWOOD P R,SZOLLOSI I,PLATT P R,et al.Comparison of upper airway collapse during general anaesthesia and sleep[J].Lancet,2002,359:1207-1209.
    [5] SIYAM M A,BENHAMOU D.Difficult endotracheal intubation in patients with sleep apnea syndrome[J].Anesth Analg,2002,95:1098-1102.
    [6] AMERICAN SOCIETY OF ANESTHESIOLOGISTS TASK FORCE ON PERIOPERATIVE MANAGEMENT OF PATIENTS WITH OBSTRUCTIVE SLEEP APNEA.Practice guidelines for the perioperative management of patients with obstructive sleep apnea:an updated report by the American Society of Anesthesiologists Task Force on Perioperative Management of patients with obstructive sleep apnea[J].Anesthesiology,2014,120:268-286.
    [7] MALLAMPATI S R,GATT S P,GUGINO L D,et al.A clinical sign to predict difficult tracheal intubation:a prospective study[J].Can Anaesth Soc J,1985,32:429-434.
    [8] 张庆泉,王强,蔡晓岚,等.重症阻塞性睡眠呼吸暂停低通气综合征患者死亡原因分析[J].中华耳鼻咽喉头颈外科杂志,2010,45(5):364-368.
    [9] BLOCK B M,LIU S S,ROWLINGSON A J,et al.Efficacy of postoperative epidural analgesia:a meta-analysis[J].JAMA,2003,290:2455-2463.
    [10] BAMGBADE O A,ALFA J A.Dexmedetomidine anaesthesia for patients with obstructive sleep apnoea undergoing bariatric surgery[J].Eur J Anaesthesiol,2009,26:176-177.
    [11] ISONO S,TANAKA A,ISHIKAWA T,et al.Sniffing position improves pharyngeal airway patency in anesthetized patients with obstructive sleep apnea[J].Anesthesiology,2005,103:489-494.
    [12] IRELAND C J,CHAPMAN T M,MATHEW S F,et al.Continuous positive airway pressure(CPAP)during the postoperative period for prevention of postoperative morbidity and mortality following major abdominal surgery[J].Cochrane Database Syst Rev,2014,CD008930.
    [13] CHUNG F,LIAO P,YEGNESWARAN B,et al.Postoperative changes in sleep-disordered breathing and sleep architecture in patients with obstructive sleep apnea[J].Anesthesiology,2014,120:287-298.
    [14] HIROTA K,YAMAKAGE M,HASHIMOTO S,et al.Perioperative respiratory complications:current evidence and strategy discussed in 2017 JA symposium[J].J Anesth,2018,32:132-136.
    [15] MUTTER T C,CHATEAU D,MOFFATT M,et al.A matched cohort study of postoperative outcomes in obstructive sleep apnea:could preoperative diagnosis and treatment prevent complications[J].Anesthesiology,2014,121:707-718.
    [16] ABDELSATTAR Z M,HENDREN S,WONG S L,et al.The impact of untreated obstructive sleep apnea on cardiopulmonary complications in general and vascular surgery:a cohort study[J].Sleep,2015,38:1205-1210.
    [17] CHUNG F,NAGAPPA M,SINGH M,et al.CPAP in the perioperative setting:evidence of support[J].Chest,2016,149:586-597.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700