Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2004-11-23
pubmed:abstractText
Among some kinds of cervical spine surgeries, combined anterior-posterior cervical spine surgery (CAP-CS surgery) requires prolonged operative time and highly invasive procedure. This study was performed to determine whether CAP-CS surgery was associated with increased risk of emergency airway management compared with other cervical spine surgeries (O-CS surgeries). The records of the patients who underwent cervical spine surgery between July 2001 and March 2003 at our institution were reviewed retrospectively, and we determined whether the CAP-CS surgery was associated with an increased risk of emergency airway management in comparison with O-CS surgeries, using the logistic regression analysis. A total of 165 were eligible for inclusion in the study. A total of 127, 20, 11, 5, and 2 patients suffered from cervical myelopathy, traumatic cervical spinal cord injury, atlantoaxial dislocation, cervical spinal tumors, and cervical pyogenic spondylitis, respectively. The operative approaches were CAP-CS surgery, anterior surgery, posterior surgery, and atlantoaxial surgery in 10, 56, 88, and 11 patients, respectively. Thus, the operative approaches were CAP-CS surgery in 10 patients and O-CS surgeries in 155 patients. Postoperative emergency airway management was required in 7 of the 10 patients (70%) who underwent CAP-CS surgery, and 2 of the 155 patients (1%) who underwent O-CS surgeries. The increased risk of postoperative emergency airway management imposed by CAP-CS surgery was 178.5 by an odds ratio, with a 95% confidence interval of 25.6 to 1246. The results show that CAP-CS surgery provides a major risk factor for postoperative emergency airway management.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0898-4921
pubmed:author
pubmed:issnType
Print
pubmed:volume
16
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
282-6
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed-meshheading:15557831-Adolescent, pubmed-meshheading:15557831-Adult, pubmed-meshheading:15557831-Aged, pubmed-meshheading:15557831-Cervical Vertebrae, pubmed-meshheading:15557831-Child, pubmed-meshheading:15557831-Emergency Medical Services, pubmed-meshheading:15557831-Female, pubmed-meshheading:15557831-Fiber Optic Technology, pubmed-meshheading:15557831-Humans, pubmed-meshheading:15557831-Intubation, Intratracheal, pubmed-meshheading:15557831-Logistic Models, pubmed-meshheading:15557831-Male, pubmed-meshheading:15557831-Middle Aged, pubmed-meshheading:15557831-Neurosurgical Procedures, pubmed-meshheading:15557831-Postoperative Complications, pubmed-meshheading:15557831-Respiration, Artificial, pubmed-meshheading:15557831-Retrospective Studies, pubmed-meshheading:15557831-Risk, pubmed-meshheading:15557831-Spine
pubmed:year
2004
pubmed:articleTitle
Increased incidence of emergency airway management after combined anterior-posterior cervical spine surgery.
pubmed:affiliation
Department of Anesthesia, Nagasaki Rosai Hospital, Sasebo, Nagasaki, Japan. yoterao@na-robyo.jp
pubmed:publicationType
Journal Article