Key result
Non-fiberoptic intubation was associated with a significantly higher rate of post-extubation upper-airway obstruction compared to fiberoptic intubation (14% vs 1%; p=0.02).
Why the study?
Does fiberoptic intubation reduce upper-airway obstruction after extubation in patients undergoing posterior operations on the cervical spine for rheumatoid arthritis?
Population
128 patients undergoing consecutive posterior operations on the cervical spine for problems related to…
Comparison
Fiberoptic intubation vs Non-fiberoptic intubation
Design
Cohort
Follow-up
perioperative
Authors
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May favor fiberoptic intubation to reduce airway obstruction after RA cervical surgery; hypothesis-generating and requires randomized confirmation.
Cohort (n=128)
Does fiberoptic intubation reduce upper-airway obstruction after extubation in patients undergoing posterior operations on the cervical spine for rheumatoid arthritis?
Absolute Event Rate: 14% vs 1%
p-value: p=0.02
Fiberoptic intubation significantly reduces the risk of life-threatening upper-airway obstruction after extubation in patients undergoing posterior cervical spine surgery for rheumatoid arthritis.
Wattenmaker et al. (1994) conducted a cohort in Rheumatoid arthritis requiring posterior cervical spine surgery (n=128). Non-fiberoptic intubation vs. Fiberoptic intubation was evaluated on Upper-airway obstruction after extubation (p=0.02). Non-fiberoptic intubation was associated with a significantly higher rate of post-extubation upper-airway obstruction compared to fiberoptic intubation (14% vs 1%; p=0.02).
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