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Multivariate Analysis of the Failure Risk of First Tracheal Intubation Attempt in a Population of Patients Scheduled for Bariatric Surgery

dc.rights.licenseopenen_US
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorGALINSKI, Michel
dc.contributor.authorCHOUTEAU, Marine
dc.contributor.authorLUNGHI, Gessica
dc.contributor.authorVINUREL, Marianne
dc.contributor.authorBLAZY, Beatrice
dc.contributor.authorCHER, Mouni
dc.contributor.authorALOUANE, Bruno
dc.contributor.authorBENTO, Helene
dc.contributor.authorGERMAIN, Jean-Louis
dc.contributor.authorBARRAT, Christophe
dc.contributor.authorCATINEAU, Jean
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorGIL-JARDINE, Cedric
dc.contributor.authorBAILLARD, Christophe
dc.date.accessioned2021-10-04T07:00:32Z
dc.date.available2021-10-04T07:00:32Z
dc.date.issued2021-07-23
dc.identifier.issn0960-8923en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/112529
dc.description.abstractEnBACKGROUND: Airway management during the administration of anesthesia to patients undergoing bariatric surgery is challenging. The goal is to avoid multiple intubation attempts because the risk of complications increases with the number of attempts. The objective of this study was to determine the failed first intubation attempt rate, as well as variables associated with this failure, in patients undergoing bariatric surgery. METHODS: We enrolled patients scheduled for bariatric surgery in this prospective, observational, single-center study. We determined predictive criteria for difficult intubation at the preoperative anesthesia consultation. All patients were evaluated for obstructive sleep apnea by polygraphy. The primary study endpoint was a failed first intubation attempt. RESULTS: We enrolled 519 patients between December 2012 and January 2015. The cohort consisted of 425 women (82%), with a median (interquartile range [IQR]) age of 39 (30-50) years and a body mass index of 42 (39-46) kg/m(2). The first intubation attempt failed in 60 patients, with an incidence rate of 11.5% (95% confidence interval [CI], 8.8-14.2%). We included nine variables in the final multivariate model. Two variables were associated with failed first intubation attempt: male sex (odds ratio [OR] [95% CI], 6.9% [2.5-18.7%]) and Mallampati score 3-4 (OR [95% CI], 2.2% [1.0-4.7%]). CONCLUSIONS: In this morbidly obese population, the first intubation attempt failed in 11.5% of patients, and the risk factors for failure were male sex and a high Mallampati score.
dc.language.isoENen_US
dc.subject.enAirway assessment
dc.subject.enBariatric surgery
dc.subject.enDifficult tracheal intubation
dc.subject.enMorbid obesity
dc.title.enMultivariate Analysis of the Failure Risk of First Tracheal Intubation Attempt in a Population of Patients Scheduled for Bariatric Surgery
dc.typeArticle de revueen_US
dc.identifier.doi10.1007/s11695-021-05586-5en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed34297257en_US
bordeaux.journalObesity Surgeryen_US
bordeaux.page4392-4398en_US
bordeaux.volume31en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamIETOen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03363484
hal.version1
hal.date.transferred2021-10-04T07:00:46Z
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Obesity%20Surgery&rft.date=2021-07-23&rft.volume=31&rft.spage=4392-4398&rft.epage=4392-4398&rft.eissn=0960-8923&rft.issn=0960-8923&rft.au=GALINSKI,%20Michel&CHOUTEAU,%20Marine&LUNGHI,%20Gessica&VINUREL,%20Marianne&BLAZY,%20Beatrice&rft.genre=article


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