Perioperatives Management bei Patienten mit schlafbezogenen Atmungsstörungen

Autor: Ulrich Koehler, F. Dette, M. Zoremba, Sebastian Canisius, H. Wulf, Jörg Heitmann
Rok vydání: 2009
Předmět:
Zdroj: Pneumologie. 63:282-287
ISSN: 1438-8790
0934-8387
DOI: 10.1055/s-0029-1214508
Popis: Sleep-related breathing disorders have been associated with increased perioperative morbidity and mortality. The respective patients are at risk during two independent periods. Besides an early period, characterised by the influence of anaesthetics, patients are at risk also during a late period, which is characterised by nocturnal desaturation and disturbances of the cardiovascular system, caused by interference with the sleep architecture, especially of the REM sleep. To assure a safe perioperative management, a close monitoring (O 2 saturation and pCO 2 ) and the option for non-invasive ventilation have to be guaranteed.
Databáze: OpenAIRE