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Risk factors for peri-anaesthetic dental injury

Authors
 S. Y. Ham  ;  J. Kim  ;  Y. J. Oh  ;  B. Lee  ;  Y.-S. Shin  ;  S. Na 
Citation
 ANAESTHESIA, Vol.71(9) : 1070-1076, 2016 
Journal Title
 ANAESTHESIA 
ISSN
 0003-2409 
Issue Date
2016
Keywords
airway assessment ; co-existing disease ; difficult airway algorithm ; hepatic dysfunction
Abstract
In this retrospective case-control study, we evaluated peri-operative dental injury risk factors following tracheal intubation. Ninety-four of 290,415 patients experienced dental injury following tracheal intubation over a 10-y period. A control group was matched for surgery type and intubating anaesthetist. The incidence of dental injury was 0.03%. Univariate analysis revealed that previous and current difficult intubation, male gender, hepatitis, neurological disease, anticonvulsant use, pre-existing poor dentition and the use of airway devices (other than a laryngoscope) were associated with dental injury. Multivariate analysis revealed that predictors of dental injury were: history of hepatitis, odds ratio (95% CI) 10.1 (1.02-100.3); poor dentition, 8.8 (3.9-20.0); alternative airway device use, 3.1 (1.2-8.0); and intubation difficulty, 3.7 (1.0-13.3). As well as confirming previously reported risk factors for dental injury during tracheal intubation, this study also suggests hepatitis and the use of alternative airway devices as additional risk factors.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/anae.13560/abstract
DOI
10.1111/anae.13560
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jeongmin(김정민) ORCID logo https://orcid.org/0000-0002-0468-8012
Na, Sungwon(나성원) ORCID logo https://orcid.org/0000-0002-1170-8042
Oh, Young Jun(오영준) ORCID logo https://orcid.org/0000-0002-6258-5695
Lee, Bo Ra(이보라) ORCID logo https://orcid.org/0000-0002-7699-967X
Ham, Sung Yeon(함성연) ORCID logo https://orcid.org/0000-0001-8619-4595
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/151998
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