Predictor of postoperative dyspnea for Pierre Robin Sequence infants
The aim of this retrospective study is to determine the predictive factors of postoperative dyspnea in infants with Pierre Robin sequence (PRS). Forty children with PRS, who underwent general anesthesia, were retrospectively analyzed. The patient’s physiological status and anesthesiology data were c...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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De Gruyter
2020-09-01
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| Series: | Open Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1515/med-2020-0231 |
| _version_ | 1818732721765089280 |
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| author | Yin Ning Fang Lei Zhang Li Cai Yousong Fan Guoxiang Shi Xiaohua Huang Hongqiang |
| author_facet | Yin Ning Fang Lei Zhang Li Cai Yousong Fan Guoxiang Shi Xiaohua Huang Hongqiang |
| author_sort | Yin Ning |
| collection | DOAJ |
| description | The aim of this retrospective study is to determine the predictive factors of postoperative dyspnea in infants with Pierre Robin sequence (PRS). Forty children with PRS, who underwent general anesthesia, were retrospectively analyzed. The patient’s physiological status and anesthesiology data were collected accordingly, demographic characteristics including age, gender, height and weight at surgery, weight gain, preoperative airway status, tracheal intubation route, American Society of Anesthesiologists grading and airway Cormack–Lehane classification. Weight gain, dyspnea before the operation, Cormack–Lehane grade distribution showed a significant difference between patients with and without postoperative dyspnea (p = 0.0175, p = 0.0026, and p = 0.0038, respectively). Incompetent weight gain was identified as a predictor (p = 0.0371) of PRS postoperative dyspnea through the binary logistic regression model. In conclusion, this study established an early alerting model by monitoring the weight gain, dyspnea before the operation, Cormack–Lehane grade as potential combinations to predict the risk of postoperative dyspnea for PRS. |
| first_indexed | 2024-12-17T23:38:05Z |
| format | Article |
| id | doaj.art-2df271cf5ed74e3f9392bd1a765001ff |
| institution | Directory Open Access Journal |
| issn | 2391-5463 |
| language | English |
| last_indexed | 2024-12-17T23:38:05Z |
| publishDate | 2020-09-01 |
| publisher | De Gruyter |
| record_format | Article |
| series | Open Medicine |
| spelling | doaj.art-2df271cf5ed74e3f9392bd1a765001ff2022-12-21T21:28:31ZengDe GruyterOpen Medicine2391-54632020-09-0115191592010.1515/med-2020-0231med-2020-0231Predictor of postoperative dyspnea for Pierre Robin Sequence infantsYin Ning0Fang Lei1Zhang Li2Cai Yousong3Fan Guoxiang4Shi Xiaohua5Huang Hongqiang6Department of Anesthesiology, Nanjing Medical University, Sir Run Run Hospital, Nanjing, ChinaPneumology Clinic/Department of Biomedicine, University & University Hospital of Basel, Basel, SwitzerlandDepartment of Anesthesiology, Children’s Hospital of Nanjing Medical University, 72 Guangzhou Road, Nanjing, Jiangsu, 210008, ChinaDepartment of Anesthesiology, Nanjing Medical University, Sir Run Run Hospital, Nanjing, ChinaDepartment of Anesthesiology, Nanjing Medical University, Sir Run Run Hospital, Nanjing, ChinaDepartment of Anesthesiology, Children’s Hospital of Nanjing Medical University, 72 Guangzhou Road, Nanjing, Jiangsu, 210008, ChinaDepartment of Anesthesiology, Children’s Hospital of Nanjing Medical University, 72 Guangzhou Road, Nanjing, Jiangsu, 210008, ChinaThe aim of this retrospective study is to determine the predictive factors of postoperative dyspnea in infants with Pierre Robin sequence (PRS). Forty children with PRS, who underwent general anesthesia, were retrospectively analyzed. The patient’s physiological status and anesthesiology data were collected accordingly, demographic characteristics including age, gender, height and weight at surgery, weight gain, preoperative airway status, tracheal intubation route, American Society of Anesthesiologists grading and airway Cormack–Lehane classification. Weight gain, dyspnea before the operation, Cormack–Lehane grade distribution showed a significant difference between patients with and without postoperative dyspnea (p = 0.0175, p = 0.0026, and p = 0.0038, respectively). Incompetent weight gain was identified as a predictor (p = 0.0371) of PRS postoperative dyspnea through the binary logistic regression model. In conclusion, this study established an early alerting model by monitoring the weight gain, dyspnea before the operation, Cormack–Lehane grade as potential combinations to predict the risk of postoperative dyspnea for PRS.https://doi.org/10.1515/med-2020-0231pierre robin sequenceinfantspostoperative dyspnea |
| spellingShingle | Yin Ning Fang Lei Zhang Li Cai Yousong Fan Guoxiang Shi Xiaohua Huang Hongqiang Predictor of postoperative dyspnea for Pierre Robin Sequence infants Open Medicine pierre robin sequence infants postoperative dyspnea |
| title | Predictor of postoperative dyspnea for Pierre Robin Sequence infants |
| title_full | Predictor of postoperative dyspnea for Pierre Robin Sequence infants |
| title_fullStr | Predictor of postoperative dyspnea for Pierre Robin Sequence infants |
| title_full_unstemmed | Predictor of postoperative dyspnea for Pierre Robin Sequence infants |
| title_short | Predictor of postoperative dyspnea for Pierre Robin Sequence infants |
| title_sort | predictor of postoperative dyspnea for pierre robin sequence infants |
| topic | pierre robin sequence infants postoperative dyspnea |
| url | https://doi.org/10.1515/med-2020-0231 |
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