UYKU APNE SENDROMUNDA PREOPERATİF HAZIRLIK Preoperative Preparation In the Sleep Apnea Syndrome

Yıl 2018, Uyku Hastalıkları Özel Sayı, 61 - 65, 27.04.2018

Çiğdem Ünal Kantekin

Öz

ÖZET

Obstrüktif uyku apne sendromu olan hastalarda çeşitli nedenlerle intraoperatif ve postoperatif

komplikasyon riski artmaktadır. Perioperatif evrelerde sorun yaşanmaması icin operasyon

öncesi tanı ve tedavilerinin sağlanarak optimum şartlarda operasyonun yapılması mortalite ve

morbiditeyi azaltmak için gereklidir. Tam bir kardiyak ve pulmoner sistem muayenesi yapılarak

hastanın optimal şartlarda ameliyata hazırlanması gerekmektedir. Bir diğer önemli risk faktörü

ise zor havayoludur. Preoperatif dönemde zor havayolu değerlendirilip gerekli önlemler

alınmalıdır.

Anahtar Sözcükler: Uyku apne sendromu; Anestezi; Preoperatif değerlendirme

ABSTRACT

In patients with obstructive sleep apnea syndrome, the risk of intraoperative and postoperative

complications is increased for various reasons. In order to prevent problems in the perioperative

stages, it is necessary to perform the operation in the optimum conditions by providing

diagnosis and treatment before operation to decrease mortality and morbidity. A complete

cardiac and pulmonary system examination should be performed and the patient should be

prepared under optimal conditions. Another important risk factor is the difficult airway. In

preoperative period difficult airway should be evaluated and necessary precautions should be

taken.

Keywords: Sleep apnea syndrome; Anesthesia; Preoperative evaluation

Anahtar Kelimeler

UYKU APNE SENDROMUNDA PREOPERATİF HAZIRLIK Preoperative Preparation In the Sleep Apnea Syndrome

Kaynakça

• 1. Vasu TS, Grewal R, Doghramji K. Obstructive sleep apnea syndrome and perioperative complications: a systematic review of the literature. J Clin Sleep Med 2012; 8: 199-207. 2. Rosen CL. Obstructive sleep apnea syndrome (OSAS) in children: diagnostic challenges. Sleep 1996; 19: S274-S277. 3. Chung F,Memtsoudis GS, Ramachandran SK, et al. Society of Anesthesia and Sleep Medicine Guidelines on Preoperative Screening and Assessment of Adult Patients With Obstructive Sleep Apnea. Anesth Analg. 2016 Aug;123(2):452-73. 4. Peppard PE, Young T, Barnet JH, et al. Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol 2013;177(9):1006–14. 5. Frey WC, Pilcher J. Obstructive sleep-related breathing disorders in patients evaluated for bariatric surgery. Obes Surg 2003;13(5):676–83. 6. Singh M, Liao P, Kobah S, et al. Proportion of surgical patients with undiagnosed obstructive sleep apnoea. Br J Anaesth 2013;110:629–36. 7. İtil O.Obstrüktif Uyku Apne Sendromunda Preoperatif Değerlendirme. Journal of Turkish Sleep Medicine 2015;3:47-52. 8. Kaw R, Pasupuleti V, Walker E, et al. Postoperative complications in patients with obstructive sleep apnea. Chest 2012;141(2):436–41. 9. Hai F, Porhomayon J, Vermont L, et al. Postoperative complications in patients with obstructive sleep apnea: a meta-analysis. J Clin Anesth 2014;26(8):591–600.