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首页> 外文期刊>Journal of perianesthesia nursing: official journal of the American Society of PeriAnesthesia Nurses >Implementing preoperative screening of undiagnosed obstructive sleep apnea.
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Implementing preoperative screening of undiagnosed obstructive sleep apnea.

机译：实施术前筛查未诊断的阻塞性睡眠呼吸暂停。

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摘要

OBSTRUCTIVE SLEEP APNEA (OSA) is a recent but significant clinical issue reported in the literature only in the last couple of decades. An estimated 12 million Americans, or 2% to 7% of the population are affected by sleep apnea. Reports show that as many as 75% of obese patients experience OSA. Surgical or procedural patients have a reported prevalence of 43% and are at high risk because of the added effects of anesthetic medications.Undiagnosed sleep apnea can lead to significant adverse outcomes (Table 1). Unidentified OSA in preoperative patients can lead to unplanned postoperative admissions, increased length of stays in the postanesthesia care unit (PACU), and more serious outcomes if OSA patients are discharged to a nonmonitored unit or home. Preoperative screening of all patients for OSA is recommended to avoid respiratory events. The purpose of this evidence-based project was to develop and implement an evidence-based protocol for preoperative screening of undiagnosed OSA.
机译：阻塞性睡眠呼吸暂停（OSA）是最近但重要的临床问题，仅在最近的几十年中才在文献中报道。估计有1200万美国人（占人口的2％至7％）受到睡眠呼吸暂停的影响。报告显示，多达75％的肥胖患者患有OSA。手术或手术患者据报道患病率为43％，并且由于麻醉药物的附加作用而处于高风险中。未经诊断的睡眠呼吸暂停可导致严重的不良后果（表1）。术前患者的OSA不确定会导致计划外的术后入院，麻醉后监护病房（PACU）住院时间的延长，以及如果OSA患者出院到非监护病房或家中会导致更严重的后果。建议对所有患者进行术前OSA筛查，以避免呼吸道事件。这个基于证据的项目的目的是开发和实施基于证据的方案，用于术前筛查未诊断的OSA。

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