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Obstruktif Uyku Apne Sendromu ve Anestezi

Yıl 2005, Cilt: 6 Sayı: 3, 1 - 5, 01.12.2005

Öz

Kaynakça

  • Guilleminault C, Tilkian A, Dement WC. The sleep apnoea syndromes. Ann Rev Med, 1976; 27: 465-484.
  • Gould GA, Whyte KF, Rhind GB, et al. The sleep hypopnea syndrome. Am Rev Respir Dis, 1988;137:
  • Young T, Palta M, Dempsey J, et al. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med, 1993; 328: 1230-1235.
  • Krieger J, Turlot JC, Mangin P, et al. Breathing during sleep in normal, young, and elderly subjects: hypopneas, apnoeas and correlated factors. Sleep, 1983; 6: 108-120.
  • Loadsman JA, Hillman DR. Anaesthesia and sleep apnoea. Br J Anaesth, 2001; 86: 254-266.
  • Fatma Fidan, Mehmet Ünlü, Murat Sezer, Ziya Kara. Afyonkarahisar ili ilköğretim okulu öğrencilerinde habitüel horlama ve uyku ile ilişkili solunum bozukluğu prevalansı. Tüberküloz ve Toraks, 2005;53:380-386.
  • Yücel A, Unlu M, Haktanir A, Acar M, Fidan F. Evaluation of the upper airway cross-sectional area changes in different degrees of severity of obstructive sleep apnea syndrome: Cephalometric and dynamic CT study. Am J Neuroradiol, 2005; 26:2624-2629.
  • Young T, Hutton R, Finn L, et al: The gender bias in sleep apnea diagnosis: are women missed because they have different symptoms? Arch Intern Med, 1996; 156: 2445-1451.
  • Benumof JL. Obstructive sleep apnea in the adult obese patient: implications for airway management. Anesthesiol Clin North America, 2002, 21: 789-811.
  • Flemons WW. Obstructive sleep apnea. New Engl J Med, 2002; 347: 498–504.
  • Tsai WH, Remmers JE, Brant R, et al. A decision rule for diagnostic testing in obstructive sleep apnea. Am J Respir Crit Care Med, 2003; 167: 1427–1432.
  • Practice parameters for the treatment of obstructive sleep apnea in adults: the efficacy of surgical modifications of the upper airway. Report of the American Sleep Disorders Association. Sleep, 1996; 19: 152–155.
  • Hiremath AS, Hillman DR, James AL, et al. Relationship between difficult tracheal intubation and obstructive sleep apnoea. Br J Anaesth, 1998; 80: 606–611.
  • Hillman DR, Loadsman JA, Platt PR, Eastwood PR. Obstructive sleep apnoea and anaesthesia. Sleep Med Rev, 2004; 8: 459-471.
  • Connolly LA. Anesthetic management of obstructive sleep apnea patients. J Clin Anesth, 1991; 3: 461–469.
  • Rennotte RM, Baele P, Aubert G, Rodenstein DO. Nasal continuous positive airway pressure in the perioperative management of patients with obstructive sleep apnea submitted to surgery. Chest, 1995; 107: 367–374.
  • Kabeli C. Obstructive sleep apnea and modifications in sedation. Crit Care Nurs Clin North Am, 2005; 17: 269-277.
  • Rosenberg J, Rasmussen V, von Jessen F, Ullstad T, Kehlet H. Late postoperative episodic and constant hypoxemia and associated abnormalities. Br J Anaesth, 1990; 65: 684-91.
  • Gupta RM, Parvizi J, Hanssen AD, Gay PC. Postoperative complications in patients with obstructive sleep apnea syndrome undergoing hip or knee replacement: a case-control study, Mayo Clin Proc, 2001; 76: 897–905.
  • Burgess LP, Derderian SS, Morin GV, Gonzalez C, Zajtchuk JT. Postoperative risk following uvulopalatopharyngoplasty for obstructive sleep apnea. Otolaryngol Head Neck Surg, 1992; 106: 81–86.
  • Kravath RE, Pollak CP, Borowiecki B, Weitzman ED. Obstructive sleep apnea and death associated with surgical correction of velopharyngeal incompetence. J Pediatr, 1980; 96: 645–648.
  • Eastwood PR, Szollosi I, Platt PR, Hillman DR. Comparison of upper airway collapse during general anaesthesia and sleep. Lancet, 2002; 359: 1207–1209.
  • Mezzanotte WS, Tangel DJ, White DP. Waking genioglossal electromyogram in sleep apnea patients versus normal controls (a neuromuscular compensatory mechanism). J Clin Invest, 1992; 89: 1571–1579.
  • Isono S, Remmers JE, Tanaka A, et al. Anatomy of pharynx in patients with obstructive sleep apnea and in normal subjects. J Appl Physiol, 1997; 82: 1319– 1326.
  • Morrison DL, Launois SH, Isono S, et al. Pharyngeal narrowing and closing pressures in patients with obstructive sleep apnea. Am Rev Respir Dis, 1993; 148: 606–611.
  • Knudsen J. Duration of hypoxaemia after uncomplicated upper abdominal and thoraco-abdominal operations. Anaesthesia, 1970; 25: 372–377.
  • Cistulli PA. Craniofacial abnormalities in obstructive sleep apnoea: implications for treatment. Respirology, 1996; 1: 167–174.
  • McColley SA, April MM, Carroll JL, Naclerio RM, Loughlin GM. Respiratory compromise after adenotonsillectomy in children with obstructive sleep apnea. Arch Otolaryngol Head Neck Surg, 1992; 118:
  • Young ML, Hanson CW. An alternative to tracheostomy following transsphenoidal hypophysectomy in a patient with acromegaly and sleep apnea. Anesth Analg, 1993; 76: 446–449.
  • Sullivan CE, Issa FG, Berthon-Jones M, Eves L. Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares, Lancet, 1981; 18: 862–865.
  • Eastwood PR, Szollosi I, Platt PR, Hillman DR. Collapsibility of the upper airway during anesthesia with isoflurane. Anesthesiology, 2002; 97: 786–793.

Obstruktif Uyku Apne Sendromu ve Anestezi

Yıl 2005, Cilt: 6 Sayı: 3, 1 - 5, 01.12.2005

Öz

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

Kaynakça

  • Guilleminault C, Tilkian A, Dement WC. The sleep apnoea syndromes. Ann Rev Med, 1976; 27: 465-484.
  • Gould GA, Whyte KF, Rhind GB, et al. The sleep hypopnea syndrome. Am Rev Respir Dis, 1988;137:
  • Young T, Palta M, Dempsey J, et al. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med, 1993; 328: 1230-1235.
  • Krieger J, Turlot JC, Mangin P, et al. Breathing during sleep in normal, young, and elderly subjects: hypopneas, apnoeas and correlated factors. Sleep, 1983; 6: 108-120.
  • Loadsman JA, Hillman DR. Anaesthesia and sleep apnoea. Br J Anaesth, 2001; 86: 254-266.
  • Fatma Fidan, Mehmet Ünlü, Murat Sezer, Ziya Kara. Afyonkarahisar ili ilköğretim okulu öğrencilerinde habitüel horlama ve uyku ile ilişkili solunum bozukluğu prevalansı. Tüberküloz ve Toraks, 2005;53:380-386.
  • Yücel A, Unlu M, Haktanir A, Acar M, Fidan F. Evaluation of the upper airway cross-sectional area changes in different degrees of severity of obstructive sleep apnea syndrome: Cephalometric and dynamic CT study. Am J Neuroradiol, 2005; 26:2624-2629.
  • Young T, Hutton R, Finn L, et al: The gender bias in sleep apnea diagnosis: are women missed because they have different symptoms? Arch Intern Med, 1996; 156: 2445-1451.
  • Benumof JL. Obstructive sleep apnea in the adult obese patient: implications for airway management. Anesthesiol Clin North America, 2002, 21: 789-811.
  • Flemons WW. Obstructive sleep apnea. New Engl J Med, 2002; 347: 498–504.
  • Tsai WH, Remmers JE, Brant R, et al. A decision rule for diagnostic testing in obstructive sleep apnea. Am J Respir Crit Care Med, 2003; 167: 1427–1432.
  • Practice parameters for the treatment of obstructive sleep apnea in adults: the efficacy of surgical modifications of the upper airway. Report of the American Sleep Disorders Association. Sleep, 1996; 19: 152–155.
  • Hiremath AS, Hillman DR, James AL, et al. Relationship between difficult tracheal intubation and obstructive sleep apnoea. Br J Anaesth, 1998; 80: 606–611.
  • Hillman DR, Loadsman JA, Platt PR, Eastwood PR. Obstructive sleep apnoea and anaesthesia. Sleep Med Rev, 2004; 8: 459-471.
  • Connolly LA. Anesthetic management of obstructive sleep apnea patients. J Clin Anesth, 1991; 3: 461–469.
  • Rennotte RM, Baele P, Aubert G, Rodenstein DO. Nasal continuous positive airway pressure in the perioperative management of patients with obstructive sleep apnea submitted to surgery. Chest, 1995; 107: 367–374.
  • Kabeli C. Obstructive sleep apnea and modifications in sedation. Crit Care Nurs Clin North Am, 2005; 17: 269-277.
  • Rosenberg J, Rasmussen V, von Jessen F, Ullstad T, Kehlet H. Late postoperative episodic and constant hypoxemia and associated abnormalities. Br J Anaesth, 1990; 65: 684-91.
  • Gupta RM, Parvizi J, Hanssen AD, Gay PC. Postoperative complications in patients with obstructive sleep apnea syndrome undergoing hip or knee replacement: a case-control study, Mayo Clin Proc, 2001; 76: 897–905.
  • Burgess LP, Derderian SS, Morin GV, Gonzalez C, Zajtchuk JT. Postoperative risk following uvulopalatopharyngoplasty for obstructive sleep apnea. Otolaryngol Head Neck Surg, 1992; 106: 81–86.
  • Kravath RE, Pollak CP, Borowiecki B, Weitzman ED. Obstructive sleep apnea and death associated with surgical correction of velopharyngeal incompetence. J Pediatr, 1980; 96: 645–648.
  • Eastwood PR, Szollosi I, Platt PR, Hillman DR. Comparison of upper airway collapse during general anaesthesia and sleep. Lancet, 2002; 359: 1207–1209.
  • Mezzanotte WS, Tangel DJ, White DP. Waking genioglossal electromyogram in sleep apnea patients versus normal controls (a neuromuscular compensatory mechanism). J Clin Invest, 1992; 89: 1571–1579.
  • Isono S, Remmers JE, Tanaka A, et al. Anatomy of pharynx in patients with obstructive sleep apnea and in normal subjects. J Appl Physiol, 1997; 82: 1319– 1326.
  • Morrison DL, Launois SH, Isono S, et al. Pharyngeal narrowing and closing pressures in patients with obstructive sleep apnea. Am Rev Respir Dis, 1993; 148: 606–611.
  • Knudsen J. Duration of hypoxaemia after uncomplicated upper abdominal and thoraco-abdominal operations. Anaesthesia, 1970; 25: 372–377.
  • Cistulli PA. Craniofacial abnormalities in obstructive sleep apnoea: implications for treatment. Respirology, 1996; 1: 167–174.
  • McColley SA, April MM, Carroll JL, Naclerio RM, Loughlin GM. Respiratory compromise after adenotonsillectomy in children with obstructive sleep apnea. Arch Otolaryngol Head Neck Surg, 1992; 118:
  • Young ML, Hanson CW. An alternative to tracheostomy following transsphenoidal hypophysectomy in a patient with acromegaly and sleep apnea. Anesth Analg, 1993; 76: 446–449.
  • Sullivan CE, Issa FG, Berthon-Jones M, Eves L. Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares, Lancet, 1981; 18: 862–865.
  • Eastwood PR, Szollosi I, Platt PR, Hillman DR. Collapsibility of the upper airway during anesthesia with isoflurane. Anesthesiology, 2002; 97: 786–793.
Toplam 31 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler-Araştırma Yazıları
Yazarlar

Hüseyin Fidan Bu kişi benim

Fatma Fidan Bu kişi benim

Mehmet Ünlü Bu kişi benim

Yayımlanma Tarihi 1 Aralık 2005
Yayımlandığı Sayı Yıl 2005 Cilt: 6 Sayı: 3

Kaynak Göster

APA Fidan, H., Fidan, F., & Ünlü, M. (2005). Obstruktif Uyku Apne Sendromu ve Anestezi. Kocatepe Tıp Dergisi, 6(3), 1-5. https://doi.org/10.18229/ktd.78666
AMA Fidan H, Fidan F, Ünlü M. Obstruktif Uyku Apne Sendromu ve Anestezi. KTD. Aralık 2005;6(3):1-5. doi:10.18229/ktd.78666
Chicago Fidan, Hüseyin, Fatma Fidan, ve Mehmet Ünlü. “Obstruktif Uyku Apne Sendromu Ve Anestezi”. Kocatepe Tıp Dergisi 6, sy. 3 (Aralık 2005): 1-5. https://doi.org/10.18229/ktd.78666.
EndNote Fidan H, Fidan F, Ünlü M (01 Aralık 2005) Obstruktif Uyku Apne Sendromu ve Anestezi. Kocatepe Tıp Dergisi 6 3 1–5.
IEEE H. Fidan, F. Fidan, ve M. Ünlü, “Obstruktif Uyku Apne Sendromu ve Anestezi”, KTD, c. 6, sy. 3, ss. 1–5, 2005, doi: 10.18229/ktd.78666.
ISNAD Fidan, Hüseyin vd. “Obstruktif Uyku Apne Sendromu Ve Anestezi”. Kocatepe Tıp Dergisi 6/3 (Aralık 2005), 1-5. https://doi.org/10.18229/ktd.78666.
JAMA Fidan H, Fidan F, Ünlü M. Obstruktif Uyku Apne Sendromu ve Anestezi. KTD. 2005;6:1–5.
MLA Fidan, Hüseyin vd. “Obstruktif Uyku Apne Sendromu Ve Anestezi”. Kocatepe Tıp Dergisi, c. 6, sy. 3, 2005, ss. 1-5, doi:10.18229/ktd.78666.
Vancouver Fidan H, Fidan F, Ünlü M. Obstruktif Uyku Apne Sendromu ve Anestezi. KTD. 2005;6(3):1-5.

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