Airway management and postoperative length of hospital stay in patients undergoing head and neck cancer surgery
Background and Aims: General anesthesia and airway management of patients for head and neck cancer surgery is a challenge for the anesthesiologist. Appropriate assessment and planning are essential for successful airway management. Our objectives were to review airway management strategies in patien...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Journal of Anaesthesiology Clinical Pharmacology |
| Subjects: | |
| Online Access: | http://www.joacp.org/article.asp?issn=0970-9185;year=2016;volume=32;issue=1;spage=49;epage=53;aulast=Siddiqui |
| _version_ | 1819101133865484288 |
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| author | Ali Sarfraz Siddiqui Samie Asghar Dogar Shankar Lal Shabbir Akhtar Fauzia Anis Khan |
| author_facet | Ali Sarfraz Siddiqui Samie Asghar Dogar Shankar Lal Shabbir Akhtar Fauzia Anis Khan |
| author_sort | Ali Sarfraz Siddiqui |
| collection | DOAJ |
| description | Background and Aims: General anesthesia and airway management of patients for head and neck cancer surgery is a challenge for the anesthesiologist. Appropriate assessment and planning are essential for successful airway management. Our objectives were to review airway management strategies in patients undergoing head and neck cancer surgery in our tertiary care institution and also to observe the effect of airway management techniques on postoperative length of hospital stay (PLOS).
Material and Methods: A retrospective medical record review of 400 patients who underwent major head and neck cancer surgery in our institution was conducted. A special form was used, and records were searched for airway and anesthetic management in the operating room and recovery room, and for PLOS.
Results: 289 (72.25%) of the patients were male, and 111 (27.75%) female. 49.8% of patients had Mallampati score of 3 and 4. Airway was managed with tracheostomy in 81 (20.25%) patients; nasal intubation was performed in 177 (44.25%) and oral intubation in 142 (35.5%) patients. Postoperative emergency tracheostomy was not done in any of the patients.
Conclusion: Median postoperative hospital stay was significantly longer (P = 0.0005) in patients who had a tracheostomy performed compared with those where the airway was managed without it. |
| first_indexed | 2024-12-22T01:13:50Z |
| format | Article |
| id | doaj.art-e514538f575047c49ec9f3cb1989387d |
| institution | Directory Open Access Journal |
| issn | 0970-9185 |
| language | English |
| last_indexed | 2024-12-22T01:13:50Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj.art-e514538f575047c49ec9f3cb1989387d2022-12-21T18:43:54ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852016-01-01321495310.4103/0970-9185.173341Airway management and postoperative length of hospital stay in patients undergoing head and neck cancer surgeryAli Sarfraz SiddiquiSamie Asghar DogarShankar LalShabbir AkhtarFauzia Anis KhanBackground and Aims: General anesthesia and airway management of patients for head and neck cancer surgery is a challenge for the anesthesiologist. Appropriate assessment and planning are essential for successful airway management. Our objectives were to review airway management strategies in patients undergoing head and neck cancer surgery in our tertiary care institution and also to observe the effect of airway management techniques on postoperative length of hospital stay (PLOS). Material and Methods: A retrospective medical record review of 400 patients who underwent major head and neck cancer surgery in our institution was conducted. A special form was used, and records were searched for airway and anesthetic management in the operating room and recovery room, and for PLOS. Results: 289 (72.25%) of the patients were male, and 111 (27.75%) female. 49.8% of patients had Mallampati score of 3 and 4. Airway was managed with tracheostomy in 81 (20.25%) patients; nasal intubation was performed in 177 (44.25%) and oral intubation in 142 (35.5%) patients. Postoperative emergency tracheostomy was not done in any of the patients. Conclusion: Median postoperative hospital stay was significantly longer (P = 0.0005) in patients who had a tracheostomy performed compared with those where the airway was managed without it.http://www.joacp.org/article.asp?issn=0970-9185;year=2016;volume=32;issue=1;spage=49;epage=53;aulast=SiddiquiAirway managementhead and neck cancerlength of stay |
| spellingShingle | Ali Sarfraz Siddiqui Samie Asghar Dogar Shankar Lal Shabbir Akhtar Fauzia Anis Khan Airway management and postoperative length of hospital stay in patients undergoing head and neck cancer surgery Journal of Anaesthesiology Clinical Pharmacology Airway management head and neck cancer length of stay |
| title | Airway management and postoperative length of hospital stay in patients undergoing head and neck cancer surgery |
| title_full | Airway management and postoperative length of hospital stay in patients undergoing head and neck cancer surgery |
| title_fullStr | Airway management and postoperative length of hospital stay in patients undergoing head and neck cancer surgery |
| title_full_unstemmed | Airway management and postoperative length of hospital stay in patients undergoing head and neck cancer surgery |
| title_short | Airway management and postoperative length of hospital stay in patients undergoing head and neck cancer surgery |
| title_sort | airway management and postoperative length of hospital stay in patients undergoing head and neck cancer surgery |
| topic | Airway management head and neck cancer length of stay |
| url | http://www.joacp.org/article.asp?issn=0970-9185;year=2016;volume=32;issue=1;spage=49;epage=53;aulast=Siddiqui |
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