Anesthetic Approach and Perioperative Complications in Cleft Lip/Palate Surgery: A Single Center Retrospective Study
Erciyes Medical Journal
; 44(4):416-422, 2022.
Article
in English
| EMBASE | ID: covidwho-1988603
ABSTRACT
Objective:
The objective of this study was to determine factors that may affect anesthesia and surgical complications, difficult airway, and the need for intensive care unit (ICU) care in cleft lip and cleft palate (CLCP) surgeries. Materials andMethods:
The study was a retrospective review of the records of 617 patients who underwent CLCP surgery between 2015–2019.Results:
The number of anesthesia complications was higher in patients with difficult mask ventilation. Surgical complications were more common in patients >1 year of age. Isolated cleft palate (CP) surgery;presence of a concomitant disease, syndrome, or micrognathia;age >1 year;and the CP subtype were associated with a higher rate of difficult intubation. Isolated cleft palate, concomitant disease, syndrome, micrognathia, difficult intubation, difficult mask ventilation, and anesthesia complications were associated with ICU admission.Conclusion:
The CP subtype was associated with a higher rate of difficult intubation and ICU hospitalization even in patients who were nonsyndromic and/or >1 year of age. Therefore, special attention should be paid to the anesthesia and surgical management of these patients.
intravenous catheter; oropharynx airway; fentanyl; methylprednisolone; oxygen; propofol; rocuronium; sevoflurane; Alport syndrome; anesthesia; anesthesia induction; article; artificial ventilation; blood pressure measurement; child; cleft lip palate; cleft palate; comorbidity; coronavirus disease 2019; difficult airway management; difficult intubation; difficult mask ventilation; DiGeorge syndrome; Down syndrome; dyspnea; electrocardiography; endotracheal intubation; fatty acid desaturation; female; fiberoptic bronchoscopy; follow up; Goldenhar syndrome; hospitalization; human; intensive care unit; Kabuki makeup syndrome; laryngoscopy; major clinical study; male; micrognathia; muscle relaxation; pandemic; perioperative period; peroperative complication; Pierre Robin syndrome; pulse oximetry; recovery room; retrospective study; risk factor; tracheostomy; trisomy 13; videolaryngoscopy; wheezing
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Observational study
Language:
English
Journal:
Erciyes Medical Journal
Year:
2022
Document Type:
Article
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