How airway management protocol can prevent anterior spine surgery complications: 5 key notes

Spine

A new study published in Spine examines airway management protocol for anterior cervical spine surgery.

 

The study examined airway complications among patients undergoing anterior cervical spine surgery before and after standardizing airway management protocol. The extubation protocol was developed after examining five clinical risk factors related to airway complication.

 

The study included 538 anterior cervical spine surgery patients who underwent surgery from 2008 to 2016, with 275 patients who underwent surgery before protocol application. Here are the key findings:

 

1. The airway complication rate in the nonprotocol group was 3.64 percent, compared to 0.76 percent in the protocol group.

 

2. Factors that could increase airway complications include:

 

● Operative indications
● Trauma
● Medical comorbidity risk
● Combined anterior and posterior surgery
● Operation time exceeding five hours

 

3. Additional risk factors identified through a multivariate analysis include medical comorbidity risk, trauma and airway protocol adoption.

 

4. The protocol decreased airway complication rate by a 0.125 odds ratio, according to the study.

 

5. Although airway complications aren't common among anterior cervical spine surgery patients, the protocol contributed to reduced risk for this life-threatening event and study authors concluded it "should be cautiously analyzed with identification of risk factors before surgery."

 

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