Naslov
Neonates undergoing pyloric stenosis repair are at increased risk of difficult airway management: secondary analysis of the NEonate and Children audiT of Anaesthesia pRactice IN Europe

Autori
Disma, N ; Engelhardt, T ; Hansen, TG ; de Graaff, JC ; Virag, K ; Habre, W

Kolaboracija
NECTARINE Group of the European Society of Anaesthesiology and Intensive

Izvornik
British journal of anaesthesia (0007-0912) 129 (2022), 5; 734-739

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
airway management ; complications ; difficult airway ; neonatal anaesthesia ; pyloric stenosis ; tracheal intubation

Sažetak
Background: Hypertrophic pyloric stenosis in otherwise healthy neonates frequently requires urgent surgical procedure but anaesthesia care may result in respiratory complications, such as hypoxaemia, pulmonary aspiration of gastric contents, and postoperative apnoea. The primary aim was to study whether or not the incidence of difficult airway management and of hypoxaemia in neonates undergoing pyloric stenosis repair was higher than that in neonates undergoing other surgeries. Methods: Data on neonates and infants undergoing anaesthesia and surgery for pyloric stenosis were extracted from the NEonate and Children audiT of Anesthesia pRactice In Europe (NECTARINE) database, for secondary analysis. Results: We identified 310 infants who had anaesthesia for surgery for pyloric stenosis. Difficult airway management (more than two attempts at laryngoscopy) was higher in children with pyloric stenosis when compared with the entire NECTARINE cohort (7.9% [95% confidence interval {; ; CI}; ; , 5.22- 11.53] vs 4.4% [95% CI, 1.99-6.58] ; relative risk [RR]=1.81 [95% CI, 1.21-2.69] ; P=0.004), whereas transient hypoxaemia with oxygen saturation <90% was comparable between the two cohorts. Postoperative complications occurred in 16 children (5.6%) within the 30- day follow-up. No mortality was reported at 30 and 90 days. Conclusions: Children undergoing surgery for pyloric stenosis had a higher incidence of difficult intubation compared with the entire NECTARINE cohort.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA