Syndrome d'apnées du sommeil: un risque pour l'anesthésie générale [Obstructive sleep apnea: a risk for general anesthesia?]

Détails

ID Serval
serval:BIB_8935E11F095E
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Syndrome d'apnées du sommeil: un risque pour l'anesthésie générale [Obstructive sleep apnea: a risk for general anesthesia?]
Périodique
Revue Médicale Suisse
Auteur(s)
Heinzer R.
ISSN
1660-9379
Statut éditorial
Publié
Date de publication
2007
Volume
3
Numéro
134
Pages
2670-2674
Langue
français
Notes
Publication types: English Abstract ; Journal Article ; Review - Publication Status: ppublish
Résumé
There are many case reports of serious complications and death among obstructive sleep apnea patients (OSA) during general anesthesia or postoperative analgesia. Sedatives and anesthetic agents, pharyngeal anatomy of these patients, opiates given for analgesia, and post operative REM sleep rebound represent potential hazards for general anesthesia in OSA patients. Ideally these patients should be treated with continuous positive airway pressure (CPAP) during premedication, directly after extubation and during postoperative analgesia. Unfortunately, only about 20% of these patients are diagnosed before surgery. A special attention should be given to the symptoms and signs suggestive of OSA during preoperative visits. Screening tests should be performed in patients with suspected OSA and, if positive, a treatment should be initiated.
Mots-clé
Anesthesia, General/adverse effects, Bariatric Surgery, Humans, Perioperative Care, Risk, Sleep Apnea, Obstructive/complications
Pubmed
Création de la notice
05/08/2009 10:43
Dernière modification de la notice
20/08/2019 15:48
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