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首页> 外文期刊>British journal of anaesthesia >Risk factors for reintubation in the post-anaesthetic care unit: A casecontrol study
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Risk factors for reintubation in the post-anaesthetic care unit: A casecontrol study

机译：麻醉后护理部门再次插管的危险因素：病例对照研究

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Background Risk factors for reintubation in post-anaesthetic care units related to anaesthetic processes have not previously been reported. Our goal was to identify risk factors for reintubation in general surgical patients.Methods A time-matched, casecontrol study was conducted on anaesthetic patients between 2001 and 2011. One hundred and sixty-four reintubated patients were compared with 656 randomly selected controls.Results Independent risk factors for reintubation were age <1 yr vs age 3049 yr [odds ratio (OR)16.4, 95 confidence interval (CI)5.747.7], chronic pulmonary disease (OR2.1, CI1.14.0), preoperative hypoalbuminaemia (OR4.9, CI2.410), creatinine clearance <24 vs >60 (OR4.1, CI1.213.4), emergency case (OR1.8, CI1.03.1), operative time >3 vs <1 h (OR3.0, CI1.56.2), airway surgery (OR32.2, CI13.676), head and neck surgery (OR3.4, CI1.86.2), cardiac surgery (OR3.8, CI1.113.4), thoracic surgery (OR6.3, CI1.921.2), cardiac catheterization (OR2.5, CI1.15.5), ASA physical status III (OR3.8, CI1.410), and the use of certain types of neuromuscular blocking agent (P<0.001).Conclusions Age <1 yr, chronic pulmonary disease, preoperative hypoalbuminaemia, and renal insufficiency were patient factors for reintubation. Emergency case, head and neck, cardiothoracic and airway surgery, and operative time >3 h were operative factors, while certain neuromuscular blocking agents and ASA physical status III were anaesthetic factors for reintubation.
机译：背景技术与麻醉过程相关的麻醉后护理单位中再次插管的危险因素尚未见报道。我们的目标是确定普通外科手术患者再次插管的危险因素。方法在2001年至2011年间对麻醉患者进行了时间匹配的病例对照研究。将164例重新插管的患者与656名随机选择的对照进行了比较。再次插管的危险因素是年龄<1岁vs 3049岁[优势比（OR）16.4、95置信区间（CI）5.747.7]，慢性肺部疾病（OR2.1，CI1.14.0），术前低白蛋白血症（OR4）。 9，CI2.410），肌酐清除率<24 vs> 60（OR4.1，CI1.213.4），紧急情况（OR1.8，CI1.03.1），手术时间> 3 vs <1 h（OR3.0，CI1） .56.2），气道手术（OR32.2，CI13.676），头颈手术（OR3.4，CI1.86.2），心脏手术（OR3.8，CI1.113.4），胸腔手术（OR6.3，CI1 .921.2），心脏导管插入术（OR2.5，CI1.15.5），ASA身体状况III（OR3.8，CI1.410）和使用某些类型的神经肌肉阻滞剂（P <0.001）。结论年龄<1年，慢性肺疾病e，术前低白蛋白血症和肾功能不全是重新插管的患者因素。紧急情况，头颈部，心胸和气道手术以及手术时间> 3h是手术因素，而某些神经肌肉阻滞剂和ASA身体状况III是重新插管的麻醉因​​素。

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