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Borde DP, Futane SS, Daunde V, et al. Are cardiac surgical patients at increased risk of difficult intubation?. Indian J Anaesth. 2017;61(8):629-635doi: 10.4103/ija.IJA_283_17.
Borde, D. P., Futane, S. S., Daunde, V., Zine, S., Joshi, N., Jaiswal, S., Chinchole, S., Kulkarni, P., Hiwarkar, A., Bhagyawant, P., Deshmukh, D., & Takalkar, M. (2017). Are cardiac surgical patients at increased risk of difficult intubation?. Indian journal of anaesthesia, 61(8), 629-635. https://doi.org/10.4103/ija.IJA_283_17
Borde, Deepak Prakash, et al. "Are cardiac surgical patients at increased risk of difficult intubation?." Indian journal of anaesthesia vol. 61,8 (2017): 629-635. doi: https://doi.org/10.4103/ija.IJA_283_17
Borde DP, Futane SS, Daunde V, Zine S, Joshi N, Jaiswal S, Chinchole S, Kulkarni P, Hiwarkar A, Bhagyawant P, Deshmukh D, Takalkar M. Are cardiac surgical patients at increased risk of difficult intubation?. Indian J Anaesth. 2017 Aug;61(8):629-635. doi: 10.4103/ija.IJA_283_17. PMID: 28890557; PMCID: PMC5579852.
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Indian J Anaesth. 2017 Aug;61(8):629-635. doi: 10.4103/ija.IJA_283_17.

Are cardiac surgical patients at increased risk of difficult intubation?.

Indian journal of anaesthesia

Deepak Prakash Borde, Savani Sameer Futane, Vijay Daunde, Sujata Zine, Nayana Joshi, Sumit Jaiswal, Sadhana Chinchole, Prasannakumar Kulkarni, Amit Hiwarkar, Priti Bhagyawant, Dilip Deshmukh, Manisha Takalkar

Affiliations

  1. Department of Anaesthesia, Ozone Anaesthesia Group, United CIIGMA Hospital, Aurangabad, Maharashtra, India.
  2. Department of Anaesthesia, United CIIGMA Hospital, Aurangabad, Maharashtra, India.

PMID: 28890557 PMCID: PMC5579852 DOI: 10.4103/ija.IJA_283_17

Abstract

BACKGROUND AND AIMS: Safe airway management is the cornerstone of contemporary anaesthesia practice, and difficult intubation (DI) remains a major cause of anaesthetic morbidity and mortality. The surgical category, particularly cardiac surgery as a risk factor for DI has not been studied extensively. The aim of this study was to test the hypothesis whether cardiac surgical patients are at increased risk of DI.

METHODS: During the study, 627 patients (329 cardiac and 298 non-cardiac surgical) were enrolled. Pre-operative demographic and other variables associated with DI were assessed. Patients with Cormack Lehane grade III and IV or use of bougie in Cormack grade II were defined as DI. The incidence of anticipated and unanticipated DI was assessed. Factors associated with DI were described using univariate and multivariate logistic regression models.

RESULTS: The overall incidence of DI was 122/627 (19.46%). The incidence of DI was higher in cardiac surgery patients (24%) as compared to non-cardiac surgery patients (14.4%

CONCLUSION: Although there was a higher incidence of DI in cardiac surgical patients, cardiac surgery is not an independent risk factor for DI. Rather, other factors play more important role. About half of the DI both in cardiac and non-cardiac surgeries were unanticipated.

Keywords: Cardiac surgery; Indian patients; difficult intubation

Conflict of interest statement

There are no conflicts of interest.

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