We report a patient with severe obstructive sleep apnea syndrome, diabetes mellitus, and hypertension, with postoperative complications following tracheostomy. His stormy postoperative course is presented with emphasis on glycemic control and hypertension. We present a cautionary tale of a significant reduction in medications to control blood pressure and hyperglycemia following tracheostomy for severe OSA. The severe reduction in blood pressure and hypoglycemia could mimic sepsis and clinicans need to be vigilant to these dramatic effects following tracheostomy and appropriately adjust baseline medications.

译文

:我们报告了一名患有严重阻塞性睡眠呼吸暂停综合症,糖尿病和高血压的患者,其气管切开术后出现并发症。介绍了他风雨如磐的术后课程,重点是血糖控制和高血压。我们提出一个警告性的故事,指出严重OSA气管切开术后控制血压和高血糖的药物显着减少。血压和低血糖的严重降低可以模仿败血症,临床医生需要警惕气管切开术后的这些巨大影响,并适当调整基线药物。

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