Perioperative management of severe obstructive sleep apnea hypopnea syndrome.
- Author:
Run-han LI
1
;
Yong ZENG
;
Yue-jian WANG
;
Yuan-xin ZHAO
;
Wei-xiong CHEN
;
Fang YANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Continuous Positive Airway Pressure; methods; Electrocardiography; Female; Humans; Male; Middle Aged; Otorhinolaryngologic Surgical Procedures; Palate; surgery; Perioperative Care; methods; Pharynx; surgery; Polysomnography; Reconstructive Surgical Procedures; methods; Sleep Apnea, Obstructive; physiopathology; surgery; Treatment Outcome; Uvula; surgery
- From: Journal of Southern Medical University 2006;26(5):661-663
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the perioperative management of severe obstructive sleep apnea hypopnea syndrome (OSAHS).
METHODSFifty-three patients with severe OSAHS received uvulopalatopharyngoplasty with uvula preservation and radiofrequency tongue base reduction. All the patients were treated with automated continuous positive airway pressure (CPAP) for 3-7 days before operation and automated antibiotic therapy administered in the oropharynx, with 24 h ECG monitoring postoperatively. Polysomnography were carried out before and 6 months after surgery.
RESULTSThe preoperative apnea hypopnea index (AHI) and lowest SaO(2) (LSaO(2)) were 58.4-/+5.1/h and 0.650-/+0.059, respectively, which were 15.5-/+3.2/h and 0.864-/+0.064 at 6 months after surgery, respectively, showing significant changes after surgery (P<0.01). Dyspnea occurred in 2 cases after operation, intraoperative bleeding in 1 case, primary bleeding in 2 cases and hypertension crisis in 1 case.
CONCLUSIONSevere OSAHS patients are subject to great surgical risk. Application of auto-CPAP before operation can significantly improve the patients' tolerance of surgery and anesthesia, and reduce the surgical risks and preoperative complications.
