[Reevaluation of the indications for tracheotomy in patients with OSAHS in perioperative period].
OBJECTIVE
To reevaluation of the indications for tracheotomy in patients with OSAHS during perioperative period.


METHODS
Sixty-eight of 89 patients were severe OSAHS diagnosed with PSG. Perioperative management was taken out, including preoperative rediagnosis, CPAP treatment, treatment of medical complications, confirming the excision area in operation, using steroids to ease postoperative edema, and so on.


RESULTS
The mean minimum oxygen saturation of 51 patients received preoperative CPAP treatment was increased from (63.54 +/- 9.45)% to (83.32 +/- 8.85)% (t = 11.52, P < 0.01), and only one of them underwent tracheotomy because of severe fat. But two of 17 patients not received preoperative CPAP treatment underwent tracheotomy. No severe upper airway complications occurred.


CONCLUSIONS
Intensive perioperative treatment can avoid tracheotomy in patients with severe OSAHS during perioperative period.
Li
Jinrang
J
Department of Otorhinolaryngology, Navy General Hospital, Beijing 100037.
Sun
Jianjun
J
D000328:Adult; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D008875:Middle Aged; D011175:Positive-Pressure Respiration; D011183:Postoperative Complications / Q000517:prevention & control; D012891:Sleep Apnea Syndromes / Q000601:surgery*; D014139:Tracheostomy