A retrospective analysis of deep neck infections at Royal Perth Hospital
Serious deep neck infections may result in life-threatening airway complications. The aim of this study was to review the management of patients requiring surgical drainage with deep neck infections and to identify possible factors that may predict a greater risk of airway complications. In this stu...
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| Veröffentlicht in: | Anaesthesia and intensive care 2009-07, Vol.37 (4), p.604-607 |
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| container_title | Anaesthesia and intensive care |
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| creator | MATZELLE, S. J HEARD, A. M. B KHONG, G. L. S RILEY, R. H EAKINS, P. D |
| description | Serious deep neck infections may result in life-threatening airway complications. The aim of this study was to review the management of patients requiring surgical drainage with deep neck infections and to identify possible factors that may predict a greater risk of airway complications. In this study the authors reviewed the notes of patients requiring surgical drainage of deep neck infections who were admitted to Royal Perth Hospital over a seven-year period (2000 to 2007). One hundred and twenty-nine suitable patients were identified, of whom 15.5% encountered airway complications including one death due to airway obstruction. Airway complications were more common if there was no consultant anaesthetist present (odds ratio 4.01 [confidence interval 1.20 to 13.46], P = 0.02). Deep neck infections are still relatively common and are associated with significant morbidity and mortality. Patients with deep neck infections represent an anaesthetic challenge which should be managed by those with an appropriate level of experience. |
| doi_str_mv | 10.1177/0310057X0903700411 |
| format | Article |
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J ; HEARD, A. M. B ; KHONG, G. L. S ; RILEY, R. H ; EAKINS, P. D</creator><creatorcontrib>MATZELLE, S. J ; HEARD, A. M. B ; KHONG, G. L. S ; RILEY, R. H ; EAKINS, P. D</creatorcontrib><description>Serious deep neck infections may result in life-threatening airway complications. The aim of this study was to review the management of patients requiring surgical drainage with deep neck infections and to identify possible factors that may predict a greater risk of airway complications. In this study the authors reviewed the notes of patients requiring surgical drainage of deep neck infections who were admitted to Royal Perth Hospital over a seven-year period (2000 to 2007). One hundred and twenty-nine suitable patients were identified, of whom 15.5% encountered airway complications including one death due to airway obstruction. Airway complications were more common if there was no consultant anaesthetist present (odds ratio 4.01 [confidence interval 1.20 to 13.46], P = 0.02). Deep neck infections are still relatively common and are associated with significant morbidity and mortality. Patients with deep neck infections represent an anaesthetic challenge which should be managed by those with an appropriate level of experience.</description><identifier>ISSN: 0310-057X</identifier><identifier>EISSN: 1448-0271</identifier><identifier>DOI: 10.1177/0310057X0903700411</identifier><identifier>PMID: 19681419</identifier><identifier>CODEN: AINCBS</identifier><language>eng</language><publisher>Edgecliff: Anaesthesia Society of Anaesthetists</publisher><subject>Adult ; Airway obstruction (Medicine) ; Airway Obstruction - etiology ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anesthetics ; Bacterial Infections - complications ; Bacterial Infections - surgery ; Biological and medical sciences ; Care and treatment ; Complications and side effects ; Cross infection ; Drainage ; Female ; Health aspects ; Humans ; Male ; Medical sciences ; Middle Aged ; Neck ; Nosocomial infections ; Retrospective Studies ; Risk factors ; Soft Tissue Infections - complications ; Soft Tissue Infections - surgery ; Tracheotomy</subject><ispartof>Anaesthesia and intensive care, 2009-07, Vol.37 (4), p.604-607</ispartof><rights>2009 INIST-CNRS</rights><rights>COPYRIGHT 2009 Sage Publications Ltd. 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B</creatorcontrib><creatorcontrib>KHONG, G. L. S</creatorcontrib><creatorcontrib>RILEY, R. H</creatorcontrib><creatorcontrib>EAKINS, P. D</creatorcontrib><title>A retrospective analysis of deep neck infections at Royal Perth Hospital</title><title>Anaesthesia and intensive care</title><addtitle>Anaesth Intensive Care</addtitle><description>Serious deep neck infections may result in life-threatening airway complications. The aim of this study was to review the management of patients requiring surgical drainage with deep neck infections and to identify possible factors that may predict a greater risk of airway complications. In this study the authors reviewed the notes of patients requiring surgical drainage of deep neck infections who were admitted to Royal Perth Hospital over a seven-year period (2000 to 2007). One hundred and twenty-nine suitable patients were identified, of whom 15.5% encountered airway complications including one death due to airway obstruction. Airway complications were more common if there was no consultant anaesthetist present (odds ratio 4.01 [confidence interval 1.20 to 13.46], P = 0.02). Deep neck infections are still relatively common and are associated with significant morbidity and mortality. Patients with deep neck infections represent an anaesthetic challenge which should be managed by those with an appropriate level of experience.</description><subject>Adult</subject><subject>Airway obstruction (Medicine)</subject><subject>Airway Obstruction - etiology</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthetics</subject><subject>Bacterial Infections - complications</subject><subject>Bacterial Infections - surgery</subject><subject>Biological and medical sciences</subject><subject>Care and treatment</subject><subject>Complications and side effects</subject><subject>Cross infection</subject><subject>Drainage</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neck</subject><subject>Nosocomial infections</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Soft Tissue Infections - complications</subject><subject>Soft Tissue Infections - surgery</subject><subject>Tracheotomy</subject><issn>0310-057X</issn><issn>1448-0271</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNptkV-LVCEYhyWKdtr6Al2EtNTd2dSjR70clmqChSIKupN39bXczhwnPRPMt8_TDEV_8ELQ53nx54-Qx5xdcq71C9ZzxpT-xCzrNWOS8ztkxaU0HROa3yWrBegW4ow8qPWWMW6FVvfJGbeD4ZLbFdmsacG55LpDP6fvSGGC8VBTpTnSgLijE_qvNE1xuc9TpTDT9_kAI32HZf5CN01NM4wPyb0IY8VHp_2cfHz18sPVprt--_rN1fq683Kwc9cHE41RoHxLILHnVkljvMBgexkVhxCDumFayGhUAMlUQBBWKyXiAKzvz8nz49xdyd_2WGe3TdXjOMKEeV_doJW28if49C_wNu9LS1edENKIgWvToIsj9BlGdC1lngv4ZaJbCyYHLgXTjbr8D9VWwG3yecKY2vkfgjgKvv1sLRjdrqQtlIPjzC3duX-7a9KT04P3N1sMv5VTWQ14dgKgehhjgcmn-osTfDBGS9X_ADYWnZU</recordid><startdate>20090701</startdate><enddate>20090701</enddate><creator>MATZELLE, S. 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| ispartof | Anaesthesia and intensive care, 2009-07, Vol.37 (4), p.604-607 |
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| source | MEDLINE; SAGE Complete A-Z List; Alma/SFX Local Collection |
| subjects | Adult Airway obstruction (Medicine) Airway Obstruction - etiology Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthetics Bacterial Infections - complications Bacterial Infections - surgery Biological and medical sciences Care and treatment Complications and side effects Cross infection Drainage Female Health aspects Humans Male Medical sciences Middle Aged Neck Nosocomial infections Retrospective Studies Risk factors Soft Tissue Infections - complications Soft Tissue Infections - surgery Tracheotomy |
| title | A retrospective analysis of deep neck infections at Royal Perth Hospital |
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