Multi-Institutional Analysis of Outcomes in Supraglottic Jet Ventilation with a Team-Based Approach.
Adult
Comorbidity
Diabetes Mellitus
/ epidemiology
Female
Follow-Up Studies
High-Frequency Jet Ventilation
/ adverse effects
Humans
Intraoperative Complications
/ epidemiology
Laparoscopy
/ adverse effects
Laryngostenosis
/ epidemiology
Male
Middle Aged
Patient Care Team
Postoperative Complications
/ epidemiology
Retrospective Studies
Risk Factors
Smoking
/ epidemiology
Tracheal Stenosis
/ epidemiology
Treatment Outcome
Jet ventilation
airway management
difficult airway
laryngotracheal stenosis
subglottic stenosis
tracheal stenosis
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
revised:
11
12
2020
received:
06
10
2020
accepted:
10
01
2021
pubmed:
21
2
2021
medline:
7
10
2021
entrez:
20
2
2021
Statut:
ppublish
Résumé
To evaluate the safety and complications of endoscopic airway surgery using supraglottic jet ventilation with a team-based approach. Retrospective cohort study. Subjects at two academic institutions diagnosed with laryngotracheal stenosis who underwent endoscopic airway surgery with jet ventilation between January 2008 and December 2018 were identified. Patient characteristics (age, gender, race, follow-up duration) and comorbidities were extracted from the electronic health record. Records were reviewed for treatment approach, intraoperative data, and complications (intraoperative, acute postoperative, and delayed postoperative). Eight hundred and ninety-four patient encounters from 371 patients were identified. Intraoperative complications (unplanned tracheotomy, profound or severe hypoxic events, barotrauma, laryngospasm) occurred in fewer than 1% of patient encounters. Acute postoperative complications (postoperative recovery unit [PACU] rapid response, PACU intubation, return to the emergency department [ED] within 24 hours of surgery) were rare, occurring in fewer than 3% of patient encounters. Delayed postoperative complications (return to the ED or admission for respiratory complaints within 30 days of surgery) occurred in fewer than 1% of patient encounters. Diabetes mellitus, active smoking, and history of previous tracheotomy were independently associated with intraoperative, acute, and delayed complications. Employing a team-based approach, jet ventilation during endoscopic airway surgery demonstrates a low rate of complications and provides for safe and successful surgery. 4 Laryngoscope, 131:2292-2297, 2021.
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
2292-2297Informations de copyright
© 2021 The American Laryngological, Rhinological and Otological Society, Inc.
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