Obstructive Sleep Apnea and the Adult Perioperative Patient

被引：10

作者：

Spence, Dennis L. ^{[1
,2
,3
]}

Han, Tony ^{[4
,5
]}

McGuire, Jason ^{[2
,6
]}

Couture, Darren ^{[2
,6
,7
]}

机构：

[1] Uniformed Serv Univ Hlth Sci, Daniel K Inouye Grad Sch Nursing, Nursing Res Navy Med West Reg, Bethesda, MD 20814 USA

[2] Uniformed Serv Univ Hlth Sci, Daniel K Inouye Grad Sch Nursing, Bethesda, MD 20814 USA

[3] Naval Med Ctr San Diego, San Diego, CA 92134 USA

[4] Naval Med Ctr San Diego, Internal Med Pulm Crit Care & Sleep Med, San Diego, CA 92134 USA

[5] Naval Med Ctr San Diego, Sleep Lab, San Diego, CA 92134 USA

[6] Walter Reed Natl Mil Med Ctr, Bethesda, MD USA

[7] Uniformed Serv Univ Hlth Sci, Walter Reed Natl Mil Med Ctr, Nurse Anesthesia Program, Bethesda, MD 20814 USA

来源：

JOURNAL OF PERIANESTHESIA NURSING | 2015年 / 30卷 / 06期

关键词：

anesthesia; obstructive sleep apnea; opioids; postoperative complications; POSTOPERATIVE COMPLICATIONS; SURGICAL-PATIENTS; BERLIN QUESTIONNAIRE; RISK-FACTORS; SURGERY; CARE; IDENTIFICATION; EPIDEMIOLOGY; EXACERBATION; ASSOCIATION;

D O I：

10.1016/j.jopan.2014.07.014

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Obstructive sleep apnea (OSA) is a chronic condition of upper airway obstruction during sleep. It is associated with significant morbidity and mortality and increases the perioperative risks of surgical patients. Thus, it is essential that perianesthesia nurses understand how to identify and manage patients with known or suspected OSA. This continuing education article will review the pathophysiology of OSA, discuss the effects of anesthesia and opioids on the sleep architecture of the OSA patients, describe the effects of OSA on postoperative complications, review the latest evidence on screening for undiagnosed OSA in the adult surgical patient, and review the perioperative management principles for patients with OSA. Published by Elsevier Inc. on behalf of American Society of PeriAnesthesia Nurses

引用

页码：528 / 545

页数：18