| Can we predict a difficult intubation in cleft lip/palate patients? | |
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MedLine Citation:
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PMID: 22420397 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To find predictors of a difficult intubation in infants with an isolated or a syndromic cleft lip/palate. STUDY DESIGN: Retrospective review: single-blind trial. SETTINGS: Tertiary care centre. METHODS: A total of 145 infants born with cleft lip/palate were enrolled. Three clinical and seven lip/palate anatomic parameters were evaluated. The grade of intubation was determined by the anesthesiologist at the time of the labioplasty/staphylorrhaphy surgery at 3 and 10 months, respectively. MAIN OUTCOME MEASURE: Intubation grade. RESULTS: The relative risk of a difficult intubation in the cleft lip, cleft palate without the Pierre Robin sequence, cleft lip-palate, and cleft palate with Pierre Robin sequence groups was 0, 2.7, 10, and 23%, respectively. The infants born with the Pierre Robin sequence had a statistically significant higher intubation grade. The degree of difficulty was increased in cases with early airway and feeding problems (p < .0001). Within the group of cleft palate patients without any lip malformation, a wider cleft was associated with a higher intubation grade with statistical significance (p = .0323). CONCLUSIONS: Infants born with Pierre Robin sequence have a statistically significantly higher risk of difficult intubation. Within this group, of all the studied factors, a clinical history of early airway and feeding problems was the best predictor of a difficult endotracheal intubation. In cleft palate patients without any cleft lip, larger width of the cleft is also a significant predictor. |
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Authors:
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Isabelle Arteau-Gauthier; Jacques E Leclerc; Audrey Godbout |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale Volume: 40 ISSN: 1916-0216 ISO Abbreviation: J Otolaryngol Head Neck Surg Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2012-03-16 Completed Date: 2012-09-14 Revised Date: 2013-04-10 |
Medline Journal Info:
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Nlm Unique ID: 101479544 Medline TA: J Otolaryngol Head Neck Surg Country: Canada |
Other Details:
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Languages: eng Pagination: 413-9 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology-Head and Neck Surgery, Laval University, Quebec, QC. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cleft Lip
/
complications*,
surgery Cleft Palate / complications*, surgery Hospitals, University Humans Infant Infant, Newborn Intubation, Intratracheal / contraindications* Laryngoscopy / contraindications Length of Stay Pierre Robin Syndrome / complications* Retrospective Studies Risk |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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