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03.03.2021 | Schlafapnoe | Leitlinien

S1-Leitlinie: Obstruktive Schlafapnoe im Rahmen von Tonsillenchirurgie mit oder ohne Adenotomie bei Kindern – perioperatives Management

verfasst von: Dr. med. G. Badelt, PD Dr. med. C. Goeters, Dr. med. K. Becke-Jakob, Prof. Dr. med. T. Deitmer, Prof. Dr. med. C. Eich, Prof. Dr. med. C. Höhne, Prof. Dr. med. B. A. Stuck, Dr. med. A. Wiater

Erschienen in: Somnologie | Ausgabe 1/2021

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Zusammenfassung

Operationen aus dem Fachgebiet der Hals-Nasen-Ohren-Heilkunde zählen zu den häufigsten operativen Eingriffen im Kindesalter. Die Tonsillenchirurgie mit oder ohne Adenotomie aufgrund einer adenotonsillären Hyperplasie mit Obstruktion der oberen Atemwege in Kombination mit oder ohne Belüftungsstörung des Mittelohrs ist bei diesen Eingriffen führend. Kinder mit obstruktiver Schlafapnoe (OSA) haben hierbei ein deutlich erhöhtes Risiko, perioperativ respiratorische Komplikationen zu erleiden. Es wurde über Todesfälle und bleibende neurologische Schäden aufgrund von Apnoe und einer erhöhten Opioidsensibilität berichtet. Die vorliegende Leitlinie stellt einen risikoadjustierten pragmatischen Ansatz dar. Patienten mit bestätigter oder vermuteter OSA sollen perioperativ entsprechend ihren individuellen Risiken und Bedürfnissen behandelt und überwacht werden, um schwere bleibende Schäden zu verhindern.

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Um die Differenzierung zwischen Tonsillektomie und Tonsillotomie im Text klar darzustellen, werden die semantischen Unterschiede durch Kursivierung hervorgehoben.

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Titel: S1-Leitlinie: Obstruktive Schlafapnoe im Rahmen von Tonsillenchirurgie mit oder ohne Adenotomie bei Kindern – perioperatives Management
verfasst von: Dr. med. G. Badelt
PD Dr. med. C. Goeters
Dr. med. K. Becke-Jakob
Prof. Dr. med. T. Deitmer
Prof. Dr. med. C. Eich
Prof. Dr. med. C. Höhne
Prof. Dr. med. B. A. Stuck
Dr. med. A. Wiater
Publikationsdatum: 03.03.2021
Verlag: Springer Medizin
Schlagwort: Schlafapnoe
Erschienen in: Somnologie / Ausgabe 1/2021
Print ISSN: 1432-9123
Elektronische ISSN: 1439-054X
DOI: https://doi.org/10.1007/s11818-021-00303-x

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Zusammenfassung

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