The evaluation of a scoring system in airway management after oral cancer surgery / 대한악안면성형재건외과학회지
Maxillofacial Plastic and Reconstructive Surgery
; : 19-2015.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-20554
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
The purpose of this retrospective study was to investigate the usefulness of tracheostomy scoring system in the decision of postoperative airway management in oral cancer patients. MATERIALS ANDMETHODS:
A total of 104 patients were reviewed in this retrospective study, who underwent radical resection with or without neck dissection and free flap reconstruction due to oral cancer. The patients were classified into three groups according to the timing of the extubation; extubated groups (n = 51), overnight intubation group (n = 45), and tracheostomy group (n = 8). Cameron's score was used to evaluate the relation between the state of the patient's airway and the type of the operation.RESULTS:
Tracheostomy was performed in eight patients (8/104, 7.7 %). A total of 22 patients (21.2 %) had more than 5 points of which 17 patients (77.3 %) did not have a tracheostomy and any postoperative emergency airway problems. The tracheostomy scores were significantly different among the three groups. Hospital stay showed a significant correlation with the tracheostomy score.CONCLUSIONS:
The scoring system did not quite agree with the airway management of the authors' clinic; however, it can be one of the clinical factors predicting the degree of the postoperative airway obstruction and surgical aggressiveness for recovery. The further studies are needed for clinically more reliable scoring systems.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Esvaziamento Cervical
/
Neoplasias Bucais
/
Traqueostomia
/
Estudos Retrospectivos
/
Obstrução das Vias Respiratórias
/
Emergências
/
Retalhos de Tecido Biológico
/
Manuseio das Vias Aéreas
/
Intubação
/
Tempo de Internação
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Maxillofacial Plastic and Reconstructive Surgery
Ano de publicação:
2015
Tipo de documento:
Artigo