UNASSIGNED:气管插管(EI)全身麻醉后的Arytenoid脱位(AD)是一种医源性损伤,会损害患者的功能并需要复位。我们旨在调查EI后AD的危险因素。
UNASSIGNED:这项回顾性病例对照研究涉及2010年6月至2020年6月在单一机构接受EI进行全身麻醉的手术成人。病例包括所有患有AD的患者。我们使用1:5的比例来识别倾向匹配对照组中的患者。
UASSIGNED:对49例AD和245例无AD对照的多变量分析表明,使用鼻胃(NG)管(比值比[OR],23.9;95%置信区间[CI],6.8-84.1),接受腹部手术(或,3.7;95%CI,1.2-11.9),手术时间超过3小时(OR,5.2;95%CI,2.1-12.9)是AD的危险因素。我们没有发现AD与40岁或以上年龄之间的显著独立关联,性别,身体质量指数,是否使用了喉罩,气管导管尺寸,和EI表演者的经验。
UNASSIGNED:使用NG管,腹部手术,手术时间延长是AD的危险因素。其中,NG管应用显示与AD有很强的相关性。告知患者增加的风险并提供高水平的患者监测的预防措施可以降低AD的发生率。
未经批准:III.
UNASSIGNED: Arytenoid dislocation (AD) after general anesthesia with endotracheal intubation (EI) is an iatrogenic injury that impairs patient function and requires reduction. We aimed to investigate the risk factors of AD following EI.
UNASSIGNED: This retrospective case-control study involved surgical adults who received EI for general anesthesia at a single institution from June 2010 to June 2020. Cases included all the patients who had AD. We used a ratio of 1:5 to identify patients in the propensity-matched control group.
UNASSIGNED: Multivariate analysis of 49 cases with AD and 245 controls without AD demonstrated that the use of a nasogastric (NG) tube (odds ratio [OR], 23.9; 95% confidence interval [CI], 6.8-84.1), undergoing abdominal surgery (OR, 3.7; 95% CI, 1.2-11.9), and an operative time longer than 3 h (OR, 5.2; 95% CI, 2.1-12.9) were risk factors for AD. We did not find significant independent associations between AD and 40 years or older age, gender, body mass index, whether a laryngeal mask airway was used, endotracheal tube size, and EI performers\' experience.
UNASSIGNED: The use of an NG tube, abdominal surgery, and longer operative time were risk factors for AD. Among these, the NG tube application showed a strong association with AD. Preventive measures of informing the patients of the increased risk and providing high-level patient monitoring can reduce the incidence of AD.
UNASSIGNED: III.