The state of problem of anesthetic management in patients with obstructive sleep apnoea syndrome
Obstructive sleep apnoea syndrome is a risk factor of postoperative complications development. The number of upper airway obstruction episodes increases under the infl uence of sedatives, analgesics and anesthetics in patients with OSAS. Preoperative diagnostics of OSAS, permanent control of airway patency, the titration of painkillers and sedatives, careful monitoring of airway and blood pressure in the postoperative period allow to reduce the risk of postoperative complications. It is recommended to use nasal CPAP-devices for 48–72 hours after surgery during sleeping in patients with OSAS. CPAP-therapy selection for patients with OSAS should be carried out in advance of surgery.