{"id":2595,"date":"2013-05-01T00:00:00","date_gmt":"1970-01-01T00:00:00","guid":{"rendered":"http:\/\/news.christianacare.org\/2013\/05\/perioperative-risk-factors-for-adverse-airway-events-in-patients-undergoing-cleft-palate-repair\/"},"modified":"2013-05-01T00:00:00","modified_gmt":"1970-01-01T00:00:00","slug":"perioperative-risk-factors-for-adverse-airway-events-in-patients-undergoing-cleft-palate-repair","status":"publish","type":"post","link":"https:\/\/research.christianacare.org\/publications\/2013\/05\/01\/perioperative-risk-factors-for-adverse-airway-events-in-patients-undergoing-cleft-palate-repair\/","title":{"rendered":"Perioperative risk factors for adverse airway events in patients undergoing cleft palate repair"},"content":{"rendered":"<p>Jackson O, Basta M, Sonnad S, Stricker P, Larossa D, Fiadjoe J<\/p>\n<p>Cleft Palate Craniofac. J. 2013 May;50(3):330-6<\/p>\n<p>PMID: <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23083121\" target=\"_blank\">23083121<\/a><\/p>\n<h2>Abstract<\/h2>\n<p><p>Objective :\u2003 To establish the incidence of perioperative airway complications in a large series of pediatric patients undergoing palatoplasty and to identify which specific patient, procedural, and provider factors are associated with increased risk for perioperative adverse airway events (AAEs). Design :\u2003 Retrospective chart review. Setting :\u2003 Tertiary pediatric hospital. Patients :\u2003 Included were 300 patients who underwent primary cleft palate repair using the modified Furlow technique between 2008 and 2011. Patients were 2 years or younger at the time of the operation. Main Outcome Measure(s) :\u2003 Charts were reviewed for perioperative AAEs, which were defined as postoperative airway obstruction, oxyhemoglobin saturation \u226485% for \u226545 seconds, bronchospasm, laryngospasm, reintubation, and unplanned admission to the intensive care unit. Patient-specific factors (diagnosis of a craniofacial syndrome, Veau cleft type, preoperative pulmonary and airway history), procedural factors (operative time, anesthesia time, opioid dose, administration and reversal of neuromuscular blockers), and provider factors (experience, number of providers), were documented, and associations with AAEs were investigated. Results :\u2003 AAEs occurred in 23% of patients overall and were significantly more common in syndromic patients (P = .003), patients with jaw or tracheal anomalies (P = .001), and patients with a history of difficult airway (P = .001). Other significant factors included prior history of difficult intubation (P = .05), surgeon (P = .02) and anesthesiologist experience (P = .05), and operative time (P = .02). Conclusions :\u2003 Diagnosis of a craniofacial syndrome, a history of preoperative airway problems, and provider inexperience correlated with increased risk for airway complications after palatoplasty. Recognizing patients at risk for AAEs may permit improved preoperative planning to optimize surgical outcomes and minimize complications.<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Jackson O, Basta M, Sonnad S, Stricker P, Larossa D, Fiadjoe J Cleft Palate Craniofac. J. 2013 May;50(3):330-6 PMID: 23083121 Abstract Objective :\u2003 To establish the incidence of perioperative airway complications in a large series of pediatric patients undergoing palatoplasty and to identify which specific patient, procedural, and provider factors are associated with increased risk<\/p>\n<p><a class=\"more-link\" href=\"https:\/\/research.christianacare.org\/publications\/2013\/05\/01\/perioperative-risk-factors-for-adverse-airway-events-in-patients-undergoing-cleft-palate-repair\/\">Continue reading <span class=\"screen-reader-text\">Perioperative risk factors for adverse airway events in patients undergoing cleft palate repair<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2595","post","type-post","status-publish","format-standard","hentry","category-pubs-pres"],"acf":[],"_links":{"self":[{"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/posts\/2595","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/comments?post=2595"}],"version-history":[{"count":0,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/posts\/2595\/revisions"}],"wp:attachment":[{"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/media?parent=2595"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/categories?post=2595"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/research.christianacare.org\/publications\/wp-json\/wp\/v2\/tags?post=2595"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}