Airway management

Retrospective Analysis of Factors Associated With Increased Anesthesia Ready Time in Patients With Odontogenic Infections

Anesth AnalgPublished Retrospective cohort study

Authors' conclusion

For patients with odontogenic infections, the strongest predictor of increased ART is the choice of FS technique.

Study context

Population
Patients aged 14 years and older requiring incision and drainage for odontogenic infections under GA, 2012–2019137 intubations
Participants
129 patients
Outcome
Anesthesia ready time (ART): time from entering the operating room to anesthesiologist marking "Anesthesia Ready"

Main finding

As reported in the abstract

ART
Mean ART overall, minutes
19.2 (SD 10.4; 95% CI 17.5-20.9)
Severe airway deviation: mean ART, minutes
23.0 (95% CI 19.4-26.6; P = .02)
Sublingual space involvement: mean ART, minutes
20.5 (95% CI 18.1-22.8; P = .02)
Lateral pharyngeal space involvement: mean ART, minutes (18.5-24.9; P = .02)
21.7
Retropharyngeal space involvement: mean ART, minutes (18.1-31.3; P = .02)
24.7
Total number of spaces involved: correlation r with ART (P = .03)
0.18
Flexible scope (FS) intubation: mean ART, minutes
26.8 (95% CI 22.6-31.0; P < .01)
Nasal route of intubation: mean ART, minutes
24.2 (95% CI 21.3-27.2; P < .01)

Observational data: associations, not effects.

Secondary outcomes

First-attempt intubation failure (FAIF)

FAIF rate
13.3%

Original publication

Retrospective Analysis of Factors Associated With Increased Anesthesia Ready Time in Patients With Odontogenic Infections. Anesth Analg. Published 5 September 2025. doi:10.1213/ane.0000000000007740

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