Clinical Decision-Making and Process Complications During Anticipated Difficult Airway Management for Elective Surgery
Authors' conclusion
Airway management was successful in all patients and the incidence of process complications was higher than in routine airway management.
Study context
- Population
- Adults with anticipated difficult airway management (DAM) scheduled for nonemergent surgery, 2009–2014episodes in 1245 adults
- Participants
- 1,295 adults
- Exposure
- Awake vs anesthetized intubation
- Awaken = 166
- Anesthetizedn = 1,129
- Outcome
- Clinical decisions and process complications during DAM
Methodological detailsconvenience sample, trained observers
- Convenience sample
- Trained observers
Main finding
As reported in the abstract
Clinical decisions and process complications during DAM Awake 13%
First-pass success
≥3 attempts
Device change Awake 4% · Anesthetized 11%
Hypoxemia
Cardiovascular destabilization
- Conversion from anesthetized to awake approach
- 1 (0.08%)
Observational data: associations, not effects.
Further findings
Failed anesthetized intubation attempt with difficult bag-mask ventilation (BMV) between attempts (subgroup)
- Multiple attempts
- 67%
- Hypoxemia
- 100%
Original publication
Clinical Decision-Making and Process Complications During Anticipated Difficult Airway Management for Elective Surgery. Anesth Analg. Published 17 December 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →