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01.07.2005 | Allgemeinanästhesie

Anästhesie und Schlaf-Apnoe-Syndrom

verfasst von: B. Hartmann, PD Dr. med. A. Junger, MDA, J. Klasen

Erschienen in: Die Anaesthesiologie | Ausgabe 7/2005

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Zusammenfassung

Ein Schlaf-Apnoe-Syndrom (SAS) erhöht das Risiko für perioperative Komplikationen bei anästhesierten und sedierten Patienten. Der Anteil an Patienten mittleren Alters mit signifikanten klinischen Symptomen wird bei Männern auf 4%, bei Frauen auf 2% geschätzt. Jedoch sind 80–95% der SAS-Erkrankten nicht diagnostiziert. Zur Identifikation und sicheren perioperativen Betreuung ist ein systematisches Vorgehen zwingend notwendig. Hierbei sollte es sich um ein interdisziplinäres Konzept handeln, das erhöhte Aufmerksamkeit bei dem pflegerischen/ärztlichen Personal, Evaluation der Intubationsverhältnisse, Abklärung kardiopulmonaler Vorerkrankungen, permanente Kontrolle der Atemwege, differenzierten und angepassten Einsatz von Anästhetika sowie konsequentes Monitoring beinhaltet. Der perioperative Einsatz und die Weiterführung einer „Nasal-continuous-positive-airway-pressure- (CPAP-)Therapie“ sowie die postoperative Verlegung in eine entsprechende Überwachungseinheit sind unbedingt zu empfehlen. Insgesamt besteht noch ein erheblicher Bedarf an kontrollierten Studien zum perioperativen Management von SAS-Patienten.

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Titel: Anästhesie und Schlaf-Apnoe-Syndrom
verfasst von: B. Hartmann
PD Dr. med. A. Junger, MDA
J. Klasen
Publikationsdatum: 01.07.2005
Verlag: Springer-Verlag
Erschienen in: Die Anaesthesiologie / Ausgabe 7/2005
Print ISSN: 2731-6858
Elektronische ISSN: 2731-6866
DOI: https://doi.org/10.1007/s00101-005-0841-2

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Anästhesie und Schlaf-Apnoe-Syndrom

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