ANESTHETIC MANAGEMENT OF A PATIENT WITH OBSTRUCTIVE SLEEP-APNEA SYNDROME AND DIFFICULT AIRWAY ACCESS

被引：21

作者：

BIRO, P

KAPLAN, V

BLOCH, KE

机构：

[1] Department of Anesthesiology, University Hospital Zurich, Zurich

来源：

JOURNAL OF CLINICAL ANESTHESIA | 1995年 / 7卷 / 05期

关键词：

DIFFICULT INTUBATION; FIBEROPTIC GUIDED INTUBATION; LARYNGEAL MASK AIRWAY; RESPIRATORY MONITORING; SLEEP APNEA;

D O I：

10.1016/0952-8180(95)00036-H

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Patients with the obstructive sleep apnea syndrome (OSAS) are predisposed to respiratory complications under the influence of sedative and anesthetic drugs because of these drugs' alternation of respiratory control with a tendency for upper airway collapse. Additional difficulties for airway management during anesthesia may arise if fixed anatomic obstacles block the upper airway. We present a case of a patient with OSAS scheduled for general anesthesia for nasal polypectomy and correction of a deviated septum. Preoperative evaluation revealed several factors known to be associated with difficult intubation and ventilation: nasal obstruction, maxillofacial malformation (micrognathia), reduced temporomandibular joint mobility, and obesity. An individualized strategy of airway management based on published standards was developed and successfully applied. It involved fiberoptic guided intubation through a laryngeal mask airway. This case illustrates the management of patients with OSAS and additional conditions that reduce upper airway patency.

引用

页码：417 / 421

页数：5

共 16 条

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