OBSTRUCTIVE SLEEP APNEA IN THE PERIOPERATIVE 阻塞性睡眠呼吸暂停综合征围手术期.pptVIP

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OBSTRUCTIVE SLEEP APNEA IN THE PERIOPERATIVE 阻塞性睡眠呼吸暂停综合征围手术期.ppt

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OBSTRUCTIVE SLEEP APNEA IN THE PERIOPERATIVE 阻塞性睡眠呼吸暂停综合征围手术期

OBSTRUCTIVE SLEEP APNEA IN THE PERIOPERATIVE PATIENT John R. Burk, M.D. OBSTRUCTIVE SLEEP APNEA IN THE PERIOPERATIVE PATIENT - Outline 21st Century Health Care Quality Health Care Pulmonary Post Operative Complications OSA prevalence and diagnosis ASA Practice Guidelines OSA risk What to do now? OSA IN PERIOPERATIVE PT.YEARS OF EXPERIENCE? 10 YEARS 20 YEARS 30 YEARS DEATHS IN THE RECOVERY ROOM? 21ST Century Health Care AimsHealth Care Should Be: Safe – avoiding injuries to patients from the care that is intended to help them Effective – providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit Patient-centered – providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions. 21ST Century Health Care AimsHealth Care Should Be: Timely – reducing waits and sometimes harmful delays for both those who receive and those who give care. Efficient – avoiding waste, including waste of equipment, supplies, ideas, and energy Equitable – providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socio-economic status What a Patient Should Expect from Their Health Care: Beyond patient visits – whenever, however you need it Individualization – you will be known and respected as an individual; care tailored to your special needs Control – the care system will take control only if and when you freely give permission What a Patient Should Expect from Their Health Care: Information – you can know what you wish to know, when you wish to know it Science – based on the best available scientific knowledge Safety – Errors in care will not harm you Transparency – care will be confidential but the system will not keep secrets from you What a Patient Should Expect from Their Health Care: Anticipation – proactive help to