Obstructive sleep apnea hypopneas syndrome is a common condition that results from a decrease in upper respiratory tract size and patency during sleep. Apneas, hypopnias and episodes of airflow limitation occur during sleep resulting in physiological changes, including decreases in oxygen saturation from sleep. This causes respiratory events to cease, only to be followed by repetitive airflow obstructions. This reason satisfies fragmentation and secondary daytime symptoms, including non-restorative sleep, excessive day solubility, memory loss and other psychometric changes.
It also leads to an increase in sympathetic tone, with secondary changes in blood pressure, heart rate and cardiac output. In addition to the symptoms of night and daytime obstructive sleep apnea can contribute to significant complications including high blood pressure, cardiac arrhythmia, myocardial infarction and stroke. Snores with obstructive sleep apnea have a higher incidence of high blood pressure and are at increased risk of postoperative hypertension due to increased sympathetic tone.
Obesity can also contribute to deep vein thrombosis and pulmonary embolism. There is growing evidence that obese snores with sleep disturbance are a risk factor for stunning and mortality. These risks are present when they undergo airway surgery or any surgical procedure. The care of these mustaches requires vigilance before, during and after surgery to minimize the risks associated with their underlying sleep disorders. Obesity is common in patients with sleep disturbing breathing, which leads to an increased risk of gastroesophageal reflux caused by increased intra-abdominal fat, intra-abdominal pressure and higher incidence of hiatal fractures.
Upper respiratory tract surgery in sleep apnea snores may temporarily worsen sleep apnea and lead to serious and potentially fatal complications including acute upper respiratory obstruction, hypoxia, hyperkarbina, myocardial infarction, cardiac arrhythmia, stroke and death. Prevention of these complications requires early detection of ongoing respiratory problems. Post-surgical surveillance is performed to detect and prevent potential complications. Although there is insufficient published data, it is believed that snores with more severe sleep apnea are at greater risk of prolonged continuous complications.
Despite surgical correction of the upper respiratory tract, edema caused by surgical trauma or severe intubation may cause airway compromises, especially in people with severe apnea, multiple airways and multiple airways.
Nasal obstruction may cause or aggravate sleep apnea while improvement of the nasal air can improve severe sleep disturbance. Nasal packaging should be avoided in spines that undergo nasal surgery. Alternatives to packaging include the use of quilting septal sutures, septal splinters, nasal tubes like Doyle splinter or nasopharyngeal airways sys in place. The use of narcotic or drug decongestant postoperatively is also helpful after nasal surgery or nasal intubation. After nasal surgery, continuous positive airway pressure (CPAP) can be used with a full face mask instead of a nasal mask or handkerchief.
Although CPAP devices are very successful, their use of poor patient compliance is limited. Difficult snores often turn into surgical treatment when non-surgical treatment fails. Although CPAP treatment differs from surgical treatment to overcome upper respiratory obstruction through positive pressure compared to removal of obstruction site), both treatment modalities are aimed at reducing apnea events, decreasing sleep fragmentation, increasing overall sleep time and reducing nightly hypoxia. Thus, surgical treatment can be as successful as CPAP in reducing cardiovascular risks.
Obstructive sleep apnea increases the risk of postoperative respiratory obstruction, myocardial infarction, stroke and cardiac arrhythmias. Sleeping apnea cords poses a challenge for the surgeon, anesthesiologist and surgical facility to administer safe perioperative care. To reduce the risk, precautions are required before, during and after surgery.