Perioperatives Management bei Patienten mit schlafbezogenen Atmungsstörungen
Autor: | Ulrich Koehler, F. Dette, M. Zoremba, Sebastian Canisius, H. Wulf, Jörg Heitmann |
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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 |
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