Obesity and Obstructive Sleep Apnea in the Ambulatory Patient.
Obesity and Obstructive Sleep Apnea in the Ambulatory Patient.
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DOI：
10.1016/j.anclin.2019.01.001
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发表时间：
2019-06-01
影响因子：
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通讯作者：
Joshi, Girish P
中科院分区：
文献类型：
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作者：
Grewal, Gaganpreet;Joshi, Girish P
肥胖和阻塞性睡眠呼吸暂停（OSA）通常与麻醉师围手术期风险和挑战增加有关。本文讨论了目前围绕有或无阻塞性睡眠呼吸暂停综合征的病态肥胖患者的围手术期护理的争议，特别是在一个独立的门诊中心。讨论的主题包括术前选择肥胖和OSA患者进行门诊手术，术中方法，以减少围手术期的风险，以及适当的术后护理。
Obesity and obstructive sleep apnea (OSA) are often associated with increased perioperative risks and challenges for the anesthesiologist. This article addresses the current controversies surrounding perioperative care of morbidly obese patients with or without OSA scheduled for ambulatory surgery, particularly in a free-standing ambulatory center. Topics discussed include preoperative selection of obese and OSA patients for ambulatory surgeries, intraoperative methods to reduce perioperative risk, and appropriate postoperative care.