Are Intoxicated Trauma Patients at an Increased Risk for Intraoperative Anesthetic Complications? A Retrospective Study
Joint Authors
Munnangi, Swapna
Wolf, Brian D.
Pesso, Raymond
McCahery, Charles
Oad, Madhu
Source
Anesthesiology Research and Practice
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-03-01
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
The purpose of this study was to correlate intraoperative anesthetic complications of trauma patients with their respective urine toxicology results.
Methods.
This retrospective, single-center cohort study at a Level 1 trauma center included patients with the following criteria: (1) trauma admission between January 1, 2010, and December 31, 2016, (2) required surgical intervention, (3) are age 18 and older, and (4) urine toxicology screening was completed.
Anesthetic records were evaluated for intraoperative complications.
Results.
The final analysis included 847 patients.
The mean anesthesia time, American Society of Anesthesiologists physical status classification scores, change in body temperature, anesthetic complication rate, and mortality were not significantly different between urine toxicology positive and negative patients.
Of note, a significantly lower proportion of the urine toxicology positive patients were extubated postoperatively in comparison to urine toxicology negative patients (57.32% vs 63.83%).
Conclusions.
Trauma patients who presented with a positive urine toxicology screening are not at an increased risk for intraoperative anesthetic complications compared to those with a negative urine toxicology screening.
However, our results indicated that the need for postoperative mechanical ventilation increased in the acutely intoxicated trauma patients when compared to those without preinjury intoxication.
American Psychological Association (APA)
Wolf, Brian D.& Munnangi, Swapna& Pesso, Raymond& McCahery, Charles& Oad, Madhu. 2020. Are Intoxicated Trauma Patients at an Increased Risk for Intraoperative Anesthetic Complications? A Retrospective Study. Anesthesiology Research and Practice،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1130523
Modern Language Association (MLA)
Wolf, Brian D.…[et al.]. Are Intoxicated Trauma Patients at an Increased Risk for Intraoperative Anesthetic Complications? A Retrospective Study. Anesthesiology Research and Practice No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1130523
American Medical Association (AMA)
Wolf, Brian D.& Munnangi, Swapna& Pesso, Raymond& McCahery, Charles& Oad, Madhu. Are Intoxicated Trauma Patients at an Increased Risk for Intraoperative Anesthetic Complications? A Retrospective Study. Anesthesiology Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1130523
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1130523