Society of Anesthesia and Sleep Medicine Guidelines on Preoperative Screening and Assessment of Adult Patients With Obstructive Sleep Apnea.
Society of Anesthesia and Sleep Medicine Guidelines on Preoperative Screening and Assessment of Adult Patients With Obstructive Sleep Apnea.
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DOI：
10.1213/ane.0000000000001416
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发表时间：
2016-08
影响因子：
5.7
通讯作者：
Auckley D
中科院分区：
文献类型：
--
作者：
Chung F;Memtsoudis SG;Ramachandran SK;Nagappa M;Opperer M;Cozowicz C;Patrawala S;Lam D;Kumar A;Joshi GP;Fleetham J;Ayas N;Collop N;Doufas AG;Eikermann M;Englesakis M;Gali B;Gay P;Hernandez AV;Kaw R;Kezirian EJ;Malhotra A;Mokhlesi B;Parthasarathy S;Stierer T;Wappler F;Hillman DR;Auckley D
补充数字内容可在文本中找到。麻醉与睡眠医学学会关于阻塞性睡眠呼吸暂停（OSA）成年患者的术前筛查和评估指南的目的是在可能的情况下，根据现有的临床证据提出建议。由于在围手术期护理领域很少有良好的随机研究，大多数建议是由该领域的专家通过共识过程制定的，包括利用证据分级来表明建议所依据的证据水平。本指南可能并不适用于所有临床情况和所有患者。是否遵循这些建议必须由负责任的医生根据个人情况作出决定。个别机构应考虑到患者的情况、干预措施的程度和可用资源，制定方案。本实践指南并不打算定义护理标准或代表患者护理的绝对要求。遵守这些指南并不能保证成功的结果，而是为了帮助个人和机构制定计划，更好地应对OSA围手术期患者带来的挑战。这些建议反映了目前的知识状况以及在出版时该领域的一组专家对其的解释。虽然这些准则将定期更新，但应考虑到在更新之间可用的新信息。在实践中对准则的偏离可能是合理的，但这种偏离不应被解释为过失索赔的依据。
Supplemental Digital Content is available in the text. 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.