Obstruktif Uyku Apne Sendromu ve Anestezi

Year 2005, Volume: 6 Issue: 3, 1 - 5, 01.12.2005

Hüseyin Fidan Fatma Fidan Mehmet Ünlü

Abstract

Keywords

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Obstruktif Uyku Apne Sendromu ve Anestezi

Abstract

Obstruktif uyku apne sendromu (OUAS) uyku sırasında obstruktif apne ve hipopne epizodları, gündüz aşırı uykululuk ile birlikte seyreden bir hastalıktır. OUAS’nin erkeklerin %4’ü, kadınların %2’de görüldüğü tahmin edilmektedir. OUAS anestezistleri önemli ölçüde ilgilendirir. Standart preopertaif anestezik değerlendirmeye horlama, tanıklı apne, dinlendirmemiş uyku, gündüz aşırı uyuklama gibi OUAS semptomlarının eklenmesi, anestezistin OUAS olasılığına karşı dikkatli olmasını sağlamasının dışında anestezistin entübasyon veya intraoperatif havayolu açıklığını sağlamadaki güçlükleri belirleme kapasitesini arttırır. OUAS olan hastalarda anestezik teknik seçimi önemlidir. İntra ve postoperatif havayolu problemleri ve arousal yanıtlarının baskılanması rejyonel tekniklerin kullanımı ile önlenebilir. Derlenme odaları ve postoperatif koğuşlarda hastalar sırtüstü pozisyona çevrildiklerinde üst havayolu obstruksiyonuna eğilimli oldukları için lateral pozisyonda tutulmalıdırlar. Acil durumda nazofarengeal havayolu aracı yardımcı olabilir. Basit çözümlere rağmen obstruksiyon devam ederse nazal CPAP uygulanmalıdır. Uykuya bağlı solunum zorluğu problemleri tüm yaş gruplarını etkilemektedir. Anestezistler açısından en önemli nokta OUAS semptom ve bulguları olan hastaların farkına varabilmek ve bu hastaların peroperatif yönetimlerinde gereken özeni göstermektir

Keywords

Obstruktif, uyku apne, sendrom, anestezi

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