Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1590/S0034-70942011000600011
Brazilian Journal of Anesthesiology
Clinical Information

Importância da avaliação pré-anestésica: relato de caso de paciente com apneia obstrutiva do sono

Importance of pre-anesthetic evaluation: case report of a patient with obstructive sleep apnea

Raquel Reis Soares; Friederike Wolff Valadares; Marta Beatriz Araujo; Michele Nacur Lorentz

http://dx.doi.org/10.1590/S0034-70942011000600011 Braz J Anesthesiol, vol.61, n6, p.789-792, 2011
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Resumo

JUSTIFICATIVA E OBJETIVOS: O objetivo deste relato foi mostrar a importância da avaliação pré-anestésica na redução da morbimortalidade de pacientes cirúrgicos e alertar para os problemas e cuidados anestésicos associados com apneia obstrutiva do sono. RELATO DO CASO: Paciente masculino, 28 anos, obeso classe II, asmático, portador de apneia do sono, hipertenso, encaminhado ao ambulatório de pré-anestésico para avaliação de cirurgia de uvuloplastia sob anestesia geral. Após orientação sobre a apneia obstrutiva do sono, esclarecimento ao paciente quanto os riscos do procedimento e discussão com o cirurgião, optou-se por rever a indicação cirúrgica e adiar o procedimento. CONCLUSÕES: O ambulatório de pré-anestésico é de máxima importância na redução da morbimortalidade do paciente cirúrgico e, principalmente, na avaliação de pacientes com apneia obstrutiva do sono, revelando-se fundamental para a programação anestésico-cirúrgica, orientando condutas a serem tomadas e interferindo positivamente no prognóstico do paciente.

Palavras-chave

ANESTESIA, ANALGÉSICOS, COMPLICAÇÕES

Abstract

BACKGROUND AND OBJECTIVES: The objective of this report was to show the importance of pre-anesthetic assessment in reducing morbidity and mortality of surgical patients and alert to problems and anesthetic care associated with obstructive sleep apnea. CASE REPORT: This is a 28-year old male patient with class II obesity, sleep apnea, hypertension, referred to the pre-anesthetic outpatient clinic for evaluation of uvuloplasty under general anesthesia. After orientation on sleep apnea, explaining to the patient the risks associated with the procedure, and discussing with the surgeon, we decided to review the surgical indication and postpone the procedure. CONCLUSIONS: The pre-anesthetic outpatient clinic is extremely important in reducing morbidity as well as mortality of surgical patients and, especially, in evaluating patients with obstructive sleep apnea, showing to be fundamental for the anesthetic-surgical schedule, orienting conducts to be followed, and interfering positively on patient prognosis.

Keywords

Anesthesia, Sleep Apnea, Analgesics

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