Síntomas laringofaríngeos posoperatorios en cirugía electiva. Incidencia y factores asociados
Los síntomas laringofaríngeos (SLF) son comunes en anestesia. La incidencia de morbilidad laringofaríngea varía en la literatura. Determinar la incidencia de SLF al usar máscara laríngea y tubo endotraqueal en la primera y a las 24h posoperatorias y estimar la asociación de factores de riesgo. Estud...
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| creator | Ríos, Ángela María Calvache, José Andrés Gómez, Juan Camilo Gómez, Luz María Aguirre, Oscar David Delgado-Noguera, Mario Francisco Uribe Trujillo, Fernando Lesaffre, Emmanuel Klimek, Markus Jan Stolker, Robert |
| description | Los síntomas laringofaríngeos (SLF) son comunes en anestesia. La incidencia de morbilidad laringofaríngea varía en la literatura.
Determinar la incidencia de SLF al usar máscara laríngea y tubo endotraqueal en la primera y a las 24h posoperatorias y estimar la asociación de factores de riesgo.
Estudio de cohorte cerrada que incluyó 451 pacientes. Se indagó la presencia de odinofagia, disfonía y disfagia. Se utilizaron modelos marginales para estimar asociación con variables en estudio.
La incidencia de SLF durante la primera y 24h posoperatorias fue del 26 y del 13%, respectivamente. A las 24h, la incidencia disminuyó significativamente.
La incidencia en un centro hospitalario colombiano de SLF en cirugía ambulatoria es importante. Existen diferencias en la reducción con el tubo endotraqueal y la máscara laríngea en el tiempo.
To determine cumulative incidence of sore throat complaints (STCs) which occur with the insertion of the laryngeal mask (LM) and endotracheal tube (ETT) during the first hour and 24 hours after elective surgery. In addition, to establish risk factors associated with its occurrence.
In a cohort study, a total of 451 patients scheduled for elective non-cardiac surgery were included consecutively for 6 months (ASA I-II-III, >18 years old) who underwent LM or ETT airway management for general anesthesia. Through a questionnaire with indirect and direct questions the presence of sore throat, hoarseness, dysphagia and the composite endpoint STCs were assessed one and 24 hours after surgery. Marginal models were used to identify risk factors.
We found an incidence of STCs of 26.8% and 13.5% at first and 24 postoperative hours respectively. At first hour, they were classified as sore throat (23.9%), hoarseness (6.7%) and dysphagia (6.4%). Each compound was not mutually exclusive. At 24 hours of follow up, incidence of STCs and its compounds decreases significantly but differently to ETT and LM. STCs were associated with female gender (OR=1.53 95%CI 1.00-2.37, p=0.05), ETT intubation (OR=4.20 95%CI 2.19-8.04, p |
| doi_str_mv | 10.1016/j.rca.2013.09.014 |
| format | Article |
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Determinar la incidencia de SLF al usar máscara laríngea y tubo endotraqueal en la primera y a las 24h posoperatorias y estimar la asociación de factores de riesgo.
Estudio de cohorte cerrada que incluyó 451 pacientes. Se indagó la presencia de odinofagia, disfonía y disfagia. Se utilizaron modelos marginales para estimar asociación con variables en estudio.
La incidencia de SLF durante la primera y 24h posoperatorias fue del 26 y del 13%, respectivamente. A las 24h, la incidencia disminuyó significativamente.
La incidencia en un centro hospitalario colombiano de SLF en cirugía ambulatoria es importante. Existen diferencias en la reducción con el tubo endotraqueal y la máscara laríngea en el tiempo.
To determine cumulative incidence of sore throat complaints (STCs) which occur with the insertion of the laryngeal mask (LM) and endotracheal tube (ETT) during the first hour and 24 hours after elective surgery. In addition, to establish risk factors associated with its occurrence.
In a cohort study, a total of 451 patients scheduled for elective non-cardiac surgery were included consecutively for 6 months (ASA I-II-III, >18 years old) who underwent LM or ETT airway management for general anesthesia. Through a questionnaire with indirect and direct questions the presence of sore throat, hoarseness, dysphagia and the composite endpoint STCs were assessed one and 24 hours after surgery. Marginal models were used to identify risk factors.
We found an incidence of STCs of 26.8% and 13.5% at first and 24 postoperative hours respectively. At first hour, they were classified as sore throat (23.9%), hoarseness (6.7%) and dysphagia (6.4%). Each compound was not mutually exclusive. At 24 hours of follow up, incidence of STCs and its compounds decreases significantly but differently to ETT and LM. STCs were associated with female gender (OR=1.53 95%CI 1.00-2.37, p=0.05), ETT intubation (OR=4.20 95%CI 2.19-8.04, p<0.01) and bloodstain on airway device at extubation (OR=2.00 95%CI 1.18-3.36, p<0.01).
The incidence of STCs remains important. There are differences in the pattern of reduction between ETT and LM over time and this study confirms risk factors for postoperative STCs like use of ETT, presence of blood during the airway device extraction and female gender.</description><identifier>ISSN: 0120-3347</identifier><identifier>EISSN: 2145-4604</identifier><identifier>DOI: 10.1016/j.rca.2013.09.014</identifier><language>spa</language><publisher>Elsevier España, S.L.U</publisher><subject>Airway Management ; Anestesia ; Anesthesia ; ANESTHESIOLOGY ; Deglutition Disorders ; Dolor ; Intubación ; Intubation ; Manejo de la Vía Aérea ; Pain ; Trastornos de deglución</subject><ispartof>Revista colombiana de anestesiología : Colombian journal of anesthesiology, 2014-01, Vol.42 (1), p.9-15</ispartof><rights>2013 Sociedad Colombiana de Anestesiología y Reanimación</rights><rights>COPYRIGHT 2014 Sociedad Colombiana de Anestesiologia y Reanimacion</rights><rights>This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1613-9cdc3d6cc31d045fed31d9371d637e755235f725fcdfe84a47aff727eb143c053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids></links><search><creatorcontrib>Ríos, Ángela María</creatorcontrib><creatorcontrib>Calvache, José Andrés</creatorcontrib><creatorcontrib>Gómez, Juan Camilo</creatorcontrib><creatorcontrib>Gómez, Luz María</creatorcontrib><creatorcontrib>Aguirre, Oscar David</creatorcontrib><creatorcontrib>Delgado-Noguera, Mario Francisco</creatorcontrib><creatorcontrib>Uribe Trujillo, Fernando</creatorcontrib><creatorcontrib>Lesaffre, Emmanuel</creatorcontrib><creatorcontrib>Klimek, Markus</creatorcontrib><creatorcontrib>Jan Stolker, Robert</creatorcontrib><title>Síntomas laringofaríngeos posoperatorios en cirugía electiva. Incidencia y factores asociados</title><title>Revista colombiana de anestesiología : Colombian journal of anesthesiology</title><addtitle>Rev. colomb. anestesiol</addtitle><description>Los síntomas laringofaríngeos (SLF) son comunes en anestesia. La incidencia de morbilidad laringofaríngea varía en la literatura.
Determinar la incidencia de SLF al usar máscara laríngea y tubo endotraqueal en la primera y a las 24h posoperatorias y estimar la asociación de factores de riesgo.
Estudio de cohorte cerrada que incluyó 451 pacientes. Se indagó la presencia de odinofagia, disfonía y disfagia. Se utilizaron modelos marginales para estimar asociación con variables en estudio.
La incidencia de SLF durante la primera y 24h posoperatorias fue del 26 y del 13%, respectivamente. A las 24h, la incidencia disminuyó significativamente.
La incidencia en un centro hospitalario colombiano de SLF en cirugía ambulatoria es importante. Existen diferencias en la reducción con el tubo endotraqueal y la máscara laríngea en el tiempo.
To determine cumulative incidence of sore throat complaints (STCs) which occur with the insertion of the laryngeal mask (LM) and endotracheal tube (ETT) during the first hour and 24 hours after elective surgery. In addition, to establish risk factors associated with its occurrence.
In a cohort study, a total of 451 patients scheduled for elective non-cardiac surgery were included consecutively for 6 months (ASA I-II-III, >18 years old) who underwent LM or ETT airway management for general anesthesia. Through a questionnaire with indirect and direct questions the presence of sore throat, hoarseness, dysphagia and the composite endpoint STCs were assessed one and 24 hours after surgery. Marginal models were used to identify risk factors.
We found an incidence of STCs of 26.8% and 13.5% at first and 24 postoperative hours respectively. At first hour, they were classified as sore throat (23.9%), hoarseness (6.7%) and dysphagia (6.4%). Each compound was not mutually exclusive. At 24 hours of follow up, incidence of STCs and its compounds decreases significantly but differently to ETT and LM. STCs were associated with female gender (OR=1.53 95%CI 1.00-2.37, p=0.05), ETT intubation (OR=4.20 95%CI 2.19-8.04, p<0.01) and bloodstain on airway device at extubation (OR=2.00 95%CI 1.18-3.36, p<0.01).
The incidence of STCs remains important. There are differences in the pattern of reduction between ETT and LM over time and this study confirms risk factors for postoperative STCs like use of ETT, presence of blood during the airway device extraction and female gender.</description><subject>Airway Management</subject><subject>Anestesia</subject><subject>Anesthesia</subject><subject>ANESTHESIOLOGY</subject><subject>Deglutition Disorders</subject><subject>Dolor</subject><subject>Intubación</subject><subject>Intubation</subject><subject>Manejo de la Vía Aérea</subject><subject>Pain</subject><subject>Trastornos de deglución</subject><issn>0120-3347</issn><issn>2145-4604</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp9kE1O5DAQha0RI03zcwB2kVgnU46duCNWLQQMEhILYO3xlMstt9Jxy-5G4lCcgotNRc2ahX-q9J7L7xPiUkIjQfa_N01G17QgVQNDA1L_EItW6q7WPegTsQDZQq2UNr_EaSkbgG5QsFyIv8-fH9M-bV2pRpfjtE7BZW6tKZVql0raUXb7lCOXNFUY82H9-eEqGgn38c011cOE0RNvrnqvgkMWU6lcSdzxqZyLn8GNhS6-zjPxenf7cvOnfny6f7hZPdYoe6nqAT0q3yMq6UF3gTxfBmWk75Uh03Wt6oJpu4A-0FI7bVzg2tA_qRVCp85Ec3y3YKQx2U065IkH2uc5up2jMx0NAJIXKDZcHQ1rN5KNU0j77HAbC9qVWpqW8ZiBVfKowpxKyRTsLsety-9Wgp3J241l8nYmb2GwPII910cPcd63SNnOf5qQfMxMzfoUv3H_Bycki_M</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Ríos, Ángela María</creator><creator>Calvache, José Andrés</creator><creator>Gómez, Juan Camilo</creator><creator>Gómez, Luz María</creator><creator>Aguirre, Oscar David</creator><creator>Delgado-Noguera, Mario Francisco</creator><creator>Uribe Trujillo, Fernando</creator><creator>Lesaffre, Emmanuel</creator><creator>Klimek, Markus</creator><creator>Jan Stolker, Robert</creator><general>Elsevier España, S.L.U</general><general>Sociedad Colombiana de Anestesiologia y Reanimacion</general><general>SCARE-Sociedad Colombiana de Anestesiología y Reanimación</general><scope>6I.</scope><scope>AAFTH</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>INF</scope><scope>GPN</scope></search><sort><creationdate>20140101</creationdate><title>Síntomas laringofaríngeos posoperatorios en cirugía electiva. Incidencia y factores asociados</title><author>Ríos, Ángela María ; Calvache, José Andrés ; Gómez, Juan Camilo ; Gómez, Luz María ; Aguirre, Oscar David ; Delgado-Noguera, Mario Francisco ; Uribe Trujillo, Fernando ; Lesaffre, Emmanuel ; Klimek, Markus ; Jan Stolker, Robert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1613-9cdc3d6cc31d045fed31d9371d637e755235f725fcdfe84a47aff727eb143c053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2014</creationdate><topic>Airway Management</topic><topic>Anestesia</topic><topic>Anesthesia</topic><topic>ANESTHESIOLOGY</topic><topic>Deglutition Disorders</topic><topic>Dolor</topic><topic>Intubación</topic><topic>Intubation</topic><topic>Manejo de la Vía Aérea</topic><topic>Pain</topic><topic>Trastornos de deglución</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ríos, Ángela María</creatorcontrib><creatorcontrib>Calvache, José Andrés</creatorcontrib><creatorcontrib>Gómez, Juan Camilo</creatorcontrib><creatorcontrib>Gómez, Luz María</creatorcontrib><creatorcontrib>Aguirre, Oscar David</creatorcontrib><creatorcontrib>Delgado-Noguera, Mario Francisco</creatorcontrib><creatorcontrib>Uribe Trujillo, Fernando</creatorcontrib><creatorcontrib>Lesaffre, Emmanuel</creatorcontrib><creatorcontrib>Klimek, Markus</creatorcontrib><creatorcontrib>Jan Stolker, Robert</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>CrossRef</collection><collection>Gale OneFile: Informe Academico</collection><collection>SciELO</collection><jtitle>Revista colombiana de anestesiología : Colombian journal of anesthesiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ríos, Ángela María</au><au>Calvache, José Andrés</au><au>Gómez, Juan Camilo</au><au>Gómez, Luz María</au><au>Aguirre, Oscar David</au><au>Delgado-Noguera, Mario Francisco</au><au>Uribe Trujillo, Fernando</au><au>Lesaffre, Emmanuel</au><au>Klimek, Markus</au><au>Jan Stolker, Robert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Síntomas laringofaríngeos posoperatorios en cirugía electiva. Incidencia y factores asociados</atitle><jtitle>Revista colombiana de anestesiología : Colombian journal of anesthesiology</jtitle><addtitle>Rev. colomb. anestesiol</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>42</volume><issue>1</issue><spage>9</spage><epage>15</epage><pages>9-15</pages><issn>0120-3347</issn><eissn>2145-4604</eissn><abstract>Los síntomas laringofaríngeos (SLF) son comunes en anestesia. La incidencia de morbilidad laringofaríngea varía en la literatura.
Determinar la incidencia de SLF al usar máscara laríngea y tubo endotraqueal en la primera y a las 24h posoperatorias y estimar la asociación de factores de riesgo.
Estudio de cohorte cerrada que incluyó 451 pacientes. Se indagó la presencia de odinofagia, disfonía y disfagia. Se utilizaron modelos marginales para estimar asociación con variables en estudio.
La incidencia de SLF durante la primera y 24h posoperatorias fue del 26 y del 13%, respectivamente. A las 24h, la incidencia disminuyó significativamente.
La incidencia en un centro hospitalario colombiano de SLF en cirugía ambulatoria es importante. Existen diferencias en la reducción con el tubo endotraqueal y la máscara laríngea en el tiempo.
To determine cumulative incidence of sore throat complaints (STCs) which occur with the insertion of the laryngeal mask (LM) and endotracheal tube (ETT) during the first hour and 24 hours after elective surgery. In addition, to establish risk factors associated with its occurrence.
In a cohort study, a total of 451 patients scheduled for elective non-cardiac surgery were included consecutively for 6 months (ASA I-II-III, >18 years old) who underwent LM or ETT airway management for general anesthesia. Through a questionnaire with indirect and direct questions the presence of sore throat, hoarseness, dysphagia and the composite endpoint STCs were assessed one and 24 hours after surgery. Marginal models were used to identify risk factors.
We found an incidence of STCs of 26.8% and 13.5% at first and 24 postoperative hours respectively. At first hour, they were classified as sore throat (23.9%), hoarseness (6.7%) and dysphagia (6.4%). Each compound was not mutually exclusive. At 24 hours of follow up, incidence of STCs and its compounds decreases significantly but differently to ETT and LM. STCs were associated with female gender (OR=1.53 95%CI 1.00-2.37, p=0.05), ETT intubation (OR=4.20 95%CI 2.19-8.04, p<0.01) and bloodstain on airway device at extubation (OR=2.00 95%CI 1.18-3.36, p<0.01).
The incidence of STCs remains important. There are differences in the pattern of reduction between ETT and LM over time and this study confirms risk factors for postoperative STCs like use of ETT, presence of blood during the airway device extraction and female gender.</abstract><pub>Elsevier España, S.L.U</pub><doi>10.1016/j.rca.2013.09.014</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Airway Management Anestesia Anesthesia ANESTHESIOLOGY Deglutition Disorders Dolor Intubación Intubation Manejo de la Vía Aérea Pain Trastornos de deglución |
| title | Síntomas laringofaríngeos posoperatorios en cirugía electiva. Incidencia y factores asociados |
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