Independent predictors of unanticipated early postoperative intubation include current ethanol use, smoking, dyspnea, chronic obstructive pulmonary disease, active congestive heart failure, recent weight loss and other conditions, according to a study published in the June 2011 issue of Anesthesiology.
The study examined 222,094 adult patients undergoing nonemergent, noncardiac surgery in the American College of Surgeons – National Surgical Quality Improvement Program database. Patients were studied to determine the incidence and independent predictors of unanticipated early postoperative intubation.
Overall, the researchers found 2,828 of 5,725 unanticipated tracheal intubations in a period of 30 days occurred within the first 3 days after surgery. Predictors also included cancer, abnormal liver function, diabetes mellitus needing insulin therapy, medium-risk surgery, high-risk surgery, very-high-risk surgery and sepsis.
Unanticipated tracheal intubations were independently associated with a nine-fold increase in mortality, according to the study.
Read the abstract on the study in Anesthesiology.
Related Articles on Anesthesia:
5 Recent Findings on Anesthesia in Children
Study: Anesthesia Poses Little to No Risk of Death in Healthy Children
Anesthetic Exposure in Young Children Could Increase Risk of ADHD
The study examined 222,094 adult patients undergoing nonemergent, noncardiac surgery in the American College of Surgeons – National Surgical Quality Improvement Program database. Patients were studied to determine the incidence and independent predictors of unanticipated early postoperative intubation.
Overall, the researchers found 2,828 of 5,725 unanticipated tracheal intubations in a period of 30 days occurred within the first 3 days after surgery. Predictors also included cancer, abnormal liver function, diabetes mellitus needing insulin therapy, medium-risk surgery, high-risk surgery, very-high-risk surgery and sepsis.
Unanticipated tracheal intubations were independently associated with a nine-fold increase in mortality, according to the study.
Read the abstract on the study in Anesthesiology.
Related Articles on Anesthesia:
5 Recent Findings on Anesthesia in Children
Study: Anesthesia Poses Little to No Risk of Death in Healthy Children
Anesthetic Exposure in Young Children Could Increase Risk of ADHD