Incidence and Mortality Rate of Perioperative Reintubation: Case Series of 196 Patients.

Autor: Banik RK; is an assistant professor in the Department of Anesthesiology, at the University of Minnesota, Minneapolis, Minnesota., Honeyfield K; Department of Anesthesiology, University of Minnesota, Minneapolis, Minnesota., Qureshi S; Department of Anesthesiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York., Reddy SG; Department of Anesthesiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York.
Jazyk: angličtina
Zdroj: AANA journal [AANA J] 2021 Dec; Vol. 89 (6), pp. 476-479.
Abstrakt: Among anesthesia-related life-threatening complications, respiratory failure requiring reintubation is common. However, studies evaluating patient characteristics for extubation failure are scarce in the literature. Such knowledge is important to increase awareness and for the development of strategies to improve the safety of anesthesia care. We retrospectively reviewed 196 cases that were reported to our quality assurance (QA) committee from 2004 to 2014 at 3 hospitals. The reintubation rate was 0.09% (n=196). More reintubations occurred in the operating room than the postanesthesia care unit (58% vs 30%). Ninety-three reintubated patients (47%) were 65 years or older. Most patients were in ASA class 3 or 4 (76%) and had a surgical procedure lasting longer than 3 hours. Eleven reintubated patients (5%) died during the hospital course. The exact causes of reintubation could not be determined because of limited data in our QA database. We conclude that although the individual risk of reintubation for each patient is low, the reintubated patients have a higher mortality rate. The study findings emphasize the need for extra vigilance before anesthesia providers attempt extubation of a patient who is elderly, underwent surgery over 3 hours, has chronic obstructive airway disease, or has ASA class 3 or 4 status.
Competing Interests: Name: Ratan K. Banik, MD, PhD Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: Partly supported by the Department of Anesthesiology, University of Minnesota. Name: Kate Honeyfield, BA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: Partly supported by the Department of Anesthesiology, University of Minnesota. Name: Sana Qureshi, MD Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: Partly supported by the Department of Anesthesiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York. Name: Shamantha G. Reddy, MD, FASA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: Partly supported by the Department of Anesthesiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York. The authors did not discuss off-label use within the article. Disclosure statements are available for viewing upon request.
(Copyright © by the American Association of Nurse Anesthetists.)
Databáze: MEDLINE
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