{"title":"Best perioperative practices in the management of obstructive sleep apnea patients undergoing ambulatory surgery.","authors":"Ameya Pappu, Mandeep Singh","doi":"10.1097/ACO.0000000000001441","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose of review: </strong>This review is timely due to the increasing prevalence of obstructive sleep apnea (OSA) among patients undergoing ambulatory surgery, necessitating updated perioperative management strategies to improve outcomes and reduce complications.</p><p><strong>Recent findings: </strong>Recent studies emphasize the importance of risk stratification using tools like STOP-Bang, highlighting the association between high-risk OSA and increased perioperative complications. Intraoperative management strategies, including the preference for regional anesthesia and careful monitoring of neuromuscular blockade, have been shown to mitigate risks. Postoperative protocols, particularly continuous monitoring, are crucial in preventing opioid-induced respiratory depression.</p><p><strong>Summary: </strong>Effective management of OSA in ambulatory surgery requires a multidisciplinary approach, encompassing preoperative screening, tailored intraoperative techniques, and vigilant postoperative monitoring. Implementing guidelines and protocols can significantly enhance patient safety and outcomes.</p>","PeriodicalId":50609,"journal":{"name":"Current Opinion in Anesthesiology","volume":"37 6","pages":"644-650"},"PeriodicalIF":2.3000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Opinion in Anesthesiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/ACO.0000000000001441","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/11 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose of review: This review is timely due to the increasing prevalence of obstructive sleep apnea (OSA) among patients undergoing ambulatory surgery, necessitating updated perioperative management strategies to improve outcomes and reduce complications.
Recent findings: Recent studies emphasize the importance of risk stratification using tools like STOP-Bang, highlighting the association between high-risk OSA and increased perioperative complications. Intraoperative management strategies, including the preference for regional anesthesia and careful monitoring of neuromuscular blockade, have been shown to mitigate risks. Postoperative protocols, particularly continuous monitoring, are crucial in preventing opioid-induced respiratory depression.
Summary: Effective management of OSA in ambulatory surgery requires a multidisciplinary approach, encompassing preoperative screening, tailored intraoperative techniques, and vigilant postoperative monitoring. Implementing guidelines and protocols can significantly enhance patient safety and outcomes.
综述目的：由于接受门诊手术的患者中阻塞性睡眠呼吸暂停（OSA）的发病率越来越高，因此有必要更新围手术期管理策略以改善预后和减少并发症，因此本综述非常及时：最近的研究结果：最近的研究强调了使用 STOP-Bang 等工具进行风险分层的重要性，突出了高风险 OSA 与围手术期并发症增加之间的关联。术中管理策略，包括首选区域麻醉和仔细监测神经肌肉阻滞，已被证明可以降低风险。术后方案，尤其是持续监测，对于预防阿片类药物引起的呼吸抑制至关重要。总结：门诊手术中 OSA 的有效管理需要多学科方法，包括术前筛查、量身定制的术中技术和警惕的术后监测。实施指南和规程可大大提高患者的安全性和治疗效果。
期刊介绍：
Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Anesthesiology features hand-picked review articles from our team of expert editors. With fifteen disciplines published across the year – including cardiovascular anesthesiology, neuroanesthesia and pain medicine – every issue also contains annotated references detailing the merits of the most important papers.
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