Effect of Increased Body Mass Index on Complication Rates during Laryngotracheal Surgery Utilizing Jet Ventilation
| Autor: | Daniel Fink, Dusty Cole Pourciau, Eddy Sims, Andrew J. McWhorter, Rachael Lanius, Rachel A. Barry, Kasey Hayley, Schuylor Hayley |
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| Rok vydání: | 2017 |
| Předmět: |
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medicine.medical_specialty medicine.medical_treatment Body Mass Index Hypoxemia High-Frequency Jet Ventilation 03 medical and health sciences 0302 clinical medicine Risk Factors 030202 anesthesiology medicine Humans Intubation Pneumomediastinum Intraoperative Complications 030223 otorhinolaryngology Retrospective Studies Oxygen saturation (medicine) business.industry Incidence Laryngostenosis Middle Aged medicine.disease Surgery Stenosis Otorhinolaryngology Pneumothorax Anesthesia Female medicine.symptom Tracheal Stenosis business Complication Laryngotracheal stenosis |
| Zdroj: | Otolaryngology–Head and Neck Surgery. 157:473-477 |
| ISSN: | 1097-6817 0194-5998 |
| Popis: | Objective Jet ventilation has been used for >30 years as an anesthetic modality for laryngotracheal surgery. Concerns exist over increased risk with elevated body mass index (BMI). We reviewed our experience using jet ventilation for laryngotracheal stenosis to assess for complication rates with substratification by BMI. Study Design Case series with chart review. Setting Tertiary care center. Subjects and Methods A total of 126 procedures with jet ventilation were identified from October 2006 to December 2014. Complications were recorded, including intubation, unplanned admission, readmission, dysphonia, oral trauma, pneumothorax, pneumomediastinum, and tracheostomy. Lowest intraoperative oxygen saturation and maximum end-tidal CO2 (ETCO2) levels were recorded. Results Among 126 patients, 43, 77, and 6 had BMIs of |
| Databáze: | OpenAIRE |
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