Perioperative Complications of Deep Extubation in Adults
Study Details
Study Description
Brief Summary
The investigators propose a prospective observational cohort study in order to investigate the perioperative respiratory complications of deep extubation in adults undergoing eye and head-and-neck surgery at Massachusetts Eye and Ear. Data pertaining to perioperative respiratory complications from adult patients presenting to MEE for eye and head and neck surgery who undergo deep extubation will be collected for this study.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Study Design
Outcome Measures
Primary Outcome Measures
- Desaturation [1 hour]
Desaturation to less than 95% for more than 10 seconds;
- Cough [1 hour]
Episodes of persistent cough, defined as 3 or more consecutive coughs
- Laryngospasm [1 hour]
Episodes of complete or partial laryngospasm
- Bronchospasm [1 hour]
Episodes of bronchospasm
- Negative pressure pulmonary edema [1 hour]
Incidence of negative pressure pulmonary edema
- Interventions [1 hour]
Obstruction that requires intubation or maneuvers, oral airway or jaw thrust
Secondary Outcome Measures
- Length of time from the end of surgery to leaving the OR [1 hour]
Other Outcome Measures
- Length of stay from admission to the PACU to discharge home [1-3 hours]
- Any unplanned hospital admission due to perioperative respiratory adverse events [1 day]
Eligibility Criteria
Criteria
Inclusion Criteria:
- Adult men and women who present to MEE for eye and head-and-neck surgery and undergo deep extubation will be included.
Exclusion Criteria:
- The study does not exclude anyone from the study.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Massachusetts Eye and Ear | Boston | Massachusetts | United States | 02111 |
Sponsors and Collaborators
- Massachusetts Eye and Ear Infirmary
Investigators
- Principal Investigator: Martha Cordoba, MD, Massachusetts Eye and Ear
Study Documents (Full-Text)
More Information
Publications
- Asai T, Koga K, Vaughan RS. Respiratory complications associated with tracheal intubation and extubation. Br J Anaesth. 1998 Jun;80(6):767-75.
- Hartley M, Vaughan RS. Problems associated with tracheal extubation. Br J Anaesth. 1993 Oct;71(4):561-8. Review.
- Miller KA, Harkin CP, Bailey PL. Postoperative tracheal extubation. Anesth Analg. 1995 Jan;80(1):149-72. Review.
- von Ungern-Sternberg BS, Davies K, Hegarty M, Erb TO, Habre W. The effect of deep vs. awake extubation on respiratory complications in high-risk children undergoing adenotonsillectomy: a randomised controlled trial. Eur J Anaesthesiol. 2013 Sep;30(9):529-36. doi: 10.1097/EJA.0b013e32835df608.
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