Society of Anesthesia and Sleep Medicine Guidelines on Preoperative Screening and Assessment of Adult Patients With Obstructive Sleep Apnea

被引：266

作者：

Chung, Frances ^{[1
]}

Memtsoudis, Stavros G. ^{[2
]}

Ramachandran, Satya Krishna ^{[3
]}

Nagappa, Mahesh ^{[4
,5
,6
]}

Opperer, Mathias ^{[7
]}

Cozowicz, Crispiana ^{[8
,9
]}

Patrawala, Sara ^{[10
,11
]}

Lam, David ^{[1
]}

Kumar, Anjana ^{[3
]}

Joshi, Girish P. ^{[12
]}

Fleetham, John ^{[13
]}

Ayas, Najib ^{[14
]}

Collop, Nancy ^{[15
]}

Doufas, Anthony G. ^{[16
]}

Eikermann, Matthias ^{[17
]}

Englesakis, Marina ^{[18
]}

Gali, Bhargavi ^{[19
]}

Gay, Peter ^{[20
]}

Hernandez, Adrian V. ^{[21
]}

Kaw, Roop ^{[23
]}

Kezirian, Eric J. ^{[22
,24
]}

Malhotra, Atul ^{[25
]}

Mokhlesi, Babak ^{[26
]}

Parthasarathy, Sairam ^{[27
]}

Stierer, Tracey ^{[28
]}

Wappler, Frank ^{[29
]}

Hillman, David R. ^{[30
,31
]}

Auckley, Dennis ^{[32
]}

机构：

[1] Univ Toronto, Univ Hlth Network, Toronto Western Hosp, Dept Anesthesiol, 399 Bathurst St,McL 2-405, Toronto, ON M5T 2S8, Canada

[2] Weill Cornell Med Coll & Hosp Special Surg, Dept Anesthesiol, New York, NY USA

[3] Univ Michigan, Dept Anesthesiol, Ann Arbor, MI 48109 USA

[4] Western Univ, St Josephs Hosp, Univ Hosp, Dept Anesthesiol & Perioperat Med, London, ON, Canada

[5] Western Univ, Victoria Hosp, London Hlth Sci Ctr, London, ON, Canada

[6] Western Univ, St Josephs Hlth Care, London, ON, Canada

[7] Paracelsus Med Univ, Dept Anesthesiol Perioperat Med & Intens Care, Salzburg, Austria

[8] Hosp Special Surg, Weill Cornell Med Coll, Dept Anesthesiol, 535 E 70th St, New York, NY 10021 USA

[9] Paracelsus Med Univ, Dept Anesthesia Perioperat Med & Intens Care, Salzburg, Austria

[10] Univ Calif San Diego, Dept Med, San Diego, CA 92103 USA

[11] Sparrow Hosp, Lansing, MI USA

[12] Univ Texas Southwestern Med Sch, Dept Anesthesiol & Pain Management, Dallas, TX USA

[13] Univ British Columbia, Dept Med, Div Resp Med, Vancouver, BC, Canada

[14] Univ British Columbia, Vancouver, BC, Canada

[15] Emory Univ, Dept Med, Atlanta, GA 30322 USA

[16] Stanford Univ, Med Ctr, Dept Anesthesiol Perioperat & Pain Med, Palo Alto, CA 94304 USA

[17] Harvard Univ, Dept Anesthesia Crit Care & Pain Med, Cambridge, MA 02138 USA

[18] Univ Toronto, Univ Hlth Network, Lib & Informat Serv, Toronto, ON, Canada

[19] Mayo Clin, Dept Anesthesiol, Rochester, MN USA

[20] Mayo Clin, Dept Pulm Crit Care & Sleep Med, Rochester, MN USA

[21] Univ Peruana Ciencias Aplicadas UPC, Sch Med, Lima, Peru

[22] Cleveland Clin, Lerner Coll Med, Dept Hosp Med, Cleveland, OH 44106 USA

[23] Cleveland Clin, Lerner Coll Med, Dept Outcomes Res, Inst Anesthesiol, Cleveland, OH 44106 USA

[24] USC, Keck Sch Med, Caruso Dept Otolaryngol Head & Neck Surg, Los Angeles, CA USA

[25] Univ Calif San Diego, Div Pulm & Crit Care Med, San Diego, CA 92103 USA

[26] Univ Chicago, Sect Pulm & Crit Care, Chicago, IL 60637 USA

[27] Univ Arizona, Dept Pulm Allergy Crit Care & Sleep Med, Tucson, AZ USA

[28] Johns Hopkins Univ, Dept Anesthesiol & Crit Care Med, Baltimore, MD USA

[29] Univ Witten Herdecke, Dept Anaesthesiol & Intens Care Med, Cologne, Germany

[30] Cologne Med Ctr, Dept Paediat Anaesthesia, Cologne, Germany

[31] Univ Western Australia, Sir Charles Gairdner Hosp, Dept Pulm Physiol & Sleep Med, Nedlands, WA, Australia

[32] Case Western Reserve Univ, Sch Med, MetroHlth Med Ctr, Div Pulm Crit Care & Sleep Med, Cleveland, OH USA

来源：

ANESTHESIA AND ANALGESIA | 2016年 / 123卷 / 02期

关键词：

POSITIVE AIRWAY PRESSURE; STOP-BANG QUESTIONNAIRE; INTENSIVE-CARE-UNIT; POSTOPERATIVE COMPLICATIONS; RISK-FACTOR; SURGICAL-PATIENTS; PERIOPERATIVE MANAGEMENT; OF-ANESTHESIOLOGISTS; BERLIN QUESTIONNAIRE; BARIATRIC SURGERY;

D O I：

10.1213/ANE.0000000000001416

中图分类号：

R614 [麻醉学];

学科分类号：

100217 [麻醉学];

摘要：

The purpose of the Society of Anesthesia and Sleep Medicine guideline on preoperative screening and assessment of adult patients with obstructive sleep apnea (OSA) is to present recommendations based on the available clinical evidence on the topic where possible. As very few well-performed randomized studies in this field of perioperative care are available, most of the recommendations were developed by experts in the field through consensus processes involving utilization of evidence grading to indicate the level of evidence upon which recommendations were based. This guideline may not be appropriate for all clinical situations and all patients. The decision whether to follow these recommendations must be made by a responsible physician on an individual basis. Protocols should be developed by individual institutions taking into account the patients' conditions, extent of interventions and available resources. This practice guideline is not intended to define standards of care or represent absolute requirements for patient care. The adherence to these guidelines cannot in any way guarantee successful outcomes and is rather meant to help individuals and institutions formulate plans to better deal with the challenges posed by perioperative patients with OSA. These recommendations reflect the current state of knowledge and its interpretation by a group of experts in the field at the time of publication. While these guidelines will be periodically updated, new information that becomes available between updates should be taken into account. Deviations in practice from guidelines may be justifiable and such deviations should not be interpreted as a basis for claims of negligence.

引用

页码：452 / 473

页数：22

共 204 条

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The Impact of Untreated Obstructive Sleep Apnea on Cardiopulmonary Complications in General and Vascular Surgery: A Cohort Study [J].