Anesthesia & Analgesia

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Anesthesia & Analgesia:
doi: 10.1213/ANE.0b013e3182a6d1ab
Patient Safety: Brief Report

Airway Management in Patients with Subglottic Stenosis: Experience at an Academic Institution

Knights, Richard M. MB, ChB, MRCP, FRCA; Clements, Stephan BM, BSc, MRCS, FRCA; Jewell, Elizabeth MS; Tremper, Kevin MD, PhD; Healy, David MD

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We describe a pilot study investigating the airway techniques used in the anesthetic management of subglottic stenosis. We searched the electronic clinical information database of the University of Michigan Health System for cases of subglottic stenosis in patients undergoing surgery. Demographics, airway techniques, incidence of hypoxemia, and technique failure were extracted from 159 records. A lower incidence of hypoxemia was found between the 4 most commonly used techniques and the less common techniques. We detected no difference in outcome between individual techniques. This study suggests a larger prospective multicenter study is required to further investigate these outcomes in patients with subglottic stenosis.

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