[Risk Factors for the Postsurgical Hoarseness Contribution of the Intubation Device].

Masui. The Japanese journal of anesthesiology Pub Date : 2017-04-01

Kanako Matsuo, Megumi Matsuda, Masaki Yamasaki, Manabu Hirata, Fumimasa Amaya

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Abstract

Background: Postsurgical hoarseness is one of the major postoperative complications.

Methods: Risk factors associated with the postsur- gical hoarseness were investigated from medical records of 579 adult patients undergoing general anes- thesia with tracheal intubation. Postsurgical hoarseness was judged if a patient developed hoarseness at PODO or PODI by postanesthesia round. Multivariate logistic regression was performed to identify the parameters associated with postsurgical hoarseness.

Results: Postsurgical hoarseness developed in 16.1% of patients. None of the patients suffered hoarseness continuing more than 4 days. Multivariate logistic regression revealed increased BMI (odds ratio (OR) 1.06 [95% confidence interval (CI):1.00-1.131], depth of tracheal tube (OR 0.71 [95% CI : 0.57-0.86]), intu- bation performed by doctors in training (OR 4.07 [95% CI : 2.42-7.10]) and intubation with Airway Scope® (OR 2.03 [95% CI : 1.10-3.66]).

Conclusions: Increased BMI, depth of tracheal tube, intubation performed by doctors in training and intu- bation with Airway Scope® are risk factors of postsur- gical hoarseness.

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[术后插管装置造成声音嘶哑的危险因素]。

背景:术后声音嘶哑是术后主要并发症之一。方法:对579例气管插管全麻成人患者的病历资料进行回顾性分析，分析其术后声音嘶哑的相关危险因素。如果患者在PODO或PODI出现声音嘶哑，则通过麻醉后检查来判断术后声音嘶哑。采用多变量logistic回归来确定与术后声音嘶哑相关的参数。结果:16.1%的患者出现术后声音嘶哑。所有患者声音嘶哑持续时间均未超过4天。多因素logistic回归显示BMI(比值比(OR) 1.06[95%可信区间(CI) 1.00-1.131]、气管插管深度(OR 0.71 [95% CI: 0.57-0.86])、培训医生插管(OR 4.07 [95% CI: 2.42-7.10])和气道镜插管(OR 2.03 [95% CI: 1.10-3.66])增加。结论:体重指数升高、气管插管深度、实习医生插管和气道镜插管是术后声音嘶哑的危险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Masui. The Japanese journal of anesthesiology

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