Pediatric anesthesia & critical care

Difficult intubation in syndromic versus nonsyndromic forms of micrognathia in children

Acta Anaesthesiol ScandPublished Retrospective cohort study

Authors' conclusion

Presence of syndrome was not associated with lower first-attempt success rate on intubation, number of intubation attempts, or complication rate among micrognathic patients difficult to intubate, despite more associated craniofacial abnormalities.

Study context

Population
Children with micrognathia in the Pediatric Difficult Intubation Registry (08/2012–03/2019)
Participants
216 vs 628
Exposure
Syndromic vs nonsyndromic micrognathia
  • Syndromicn = 216
  • Nonsyndromicn = 628reference
Outcome
First-attempt success rate of tracheal intubation
Methodological detailsregistry-based, propensity score matched
  • Registry-based
  • Propensity score matched

Main finding

As reported in the abstract

Syndromic vs NonsyndromicOR for first-attempt success (95% CI)P value
First propensity-matched analysis
1.18(0.74–1.89)
P = 0.478
Second propensity-matched analysis
0.99(0.66–1.48)
P = 0.959

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Difficult intubation in syndromic versus nonsyndromic forms of micrognathia in children. Acta Anaesthesiol Scand. Published 2 January 2024. doi:10.1111/aas.14369

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