摘要
Abstract
Objective To identify independent risk factors of reintubation after planned extubation. Methods Six hundred cases underwent general anesthesia were retrospectively analyzed. Among them 150 cas⁃es sustained reintubation after planned extubation. The control group consisted of 450 patients randomly selected from those underwent endotracheal intubation without reintubation after planned extubation. Risk factors of rein⁃tubation after planned extubation cases were compared with the control group using univariate and multivariate logistic regression. Results Univariate logistic regression demonstrated that the following risk factors were sig⁃nificantly related to the reintubation after planned ex⁃tubation, including age, gender, ASA classification, BMI, nerve system diseases, cardiopulmonary diseases, chronic renal insufficiency, ascites, SIRS, rocuronium as muscle relaxant, hypothermia, inexperienced anesthetic service, airway surgery, and neurosurgery. Multivariate lo⁃gistic regression demonstrated that the independent risk factors included ASA classification, hypothermia, ro⁃curonium, airway surgery, COPD, pneumonia, conscious disturbance, ascites, SIRS, and inexperienced anesthetic service. Conclusion The independent risk factors include ASA classification, hypothermia, rocuronium, air⁃way surgery, COPD, pneumonia, conscious disturbance, ascites, SIRS, and inexperienced anesthetic service. It is advisable to take preventive measures to reduce the risks of reintubation after planned extubation for high-risk patients.关键词
全身麻醉/风险因素/气管插管/再插管Key words
General anesthesia/risk factors/airway extubation/reintubation分类
临床医学
