Obstructive sleep apnoea and anaesthesia
نویسندگان
چکیده
Obstructive sleep apnoea (OSA) correlates positively with obesity and age, both of which are becoming increasingly prevalent. Obstructive sleep apnoea occurs much more frequently in clinical practice than formerly diagnosed, and that this condition represents complex challenges for difficulty in mask ventilation, laryngoscopic intubation, accelerated arterial desaturation, postoperative monitoring and discharge status. In this review article pathophysiology, diagnosis, and perioperative management of this group of patients have been discussed in detail.
منابع مشابه
Acute effects of obstructive sleep apnoea.
The pharyngeal airway narrows when pharyngeal muscle tone decreases. During sleep, partial collapse at this level leads to snoring, and complete collapse to obstructive sleep apnoea [25], Such upper airway incompetence is relatively common: 17% of randomly selected normal British men snore [60]; one in 300 have severe obstructive sleep apnoea and cannot maintain a patent airway in any sleeping ...
متن کاملObstructive sleep apnoea syndrome: is this an overlooked cause of desaturation in the immediate postoperative period?
We report the case of a 38-yr-old man who presented for an emergency mastoidectomy and suffered from severe upper airways obstruction in the postoperative period. Subsequent questioning revealed a history of heroic snoring and further investigations proved a diagnosis of obstructive sleep apnoea.
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Sleep disordered breathing, especially obstructive sleep apnoea (OSA), has a high and increasing prevalence. Depending on the apnoea and hypopnoea scoring criteria used, and depending on the sex and age of the subjects investigated, prevalence varies between 3% and 49% of the general population. These varying prevalences need to be reflected when considering screening for OSA. OSA is a cardiova...
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Obstructive sleep apnoea syndrome in children is a complex disorder characterised by repeated nocturnal episodes of increased upper airway resistive load. It is most commonly associated with adenotonsillar hypertrophy and more children are now presenting for adenotonsillectomy. These children may pose different anaesthetic problems to those having surgery for recurrent infection alone and anaes...
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Background: Obesity, abdominal surgery, and intrathecal opioids are all factors associated with a risk for respiratory compromise. The aim of this explorative trial was to study the apnoea/hypopnea index 1st postoperative night in obese mothers having had caesarean section (CS) in spinal anaesthesia with a combination of bupivacaine/morphine and fentanyl. Methods: Consecutive obese (BMI >30 kg/...
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