Incidence and Mortality Rate of Perioperative Reintubation: Case Series of 196 Patients

Ratan K. Banik, Kate Honeyfield, Sana Qureshi, Shamantha G. Reddy

Research output: Contribution to journalArticlepeer-review

Abstract

Among anesthesia-related life-threatening complications, respiratory failure requiring reintubation is common. However, studies evaluating patient characteristics for extubation failure are scarce in the literature. Such knowledge is important to increase awareness and for the development of strategies to improve the safety of anesthesia care. We retrospectively reviewed 196 cases that were reported to our quality assurance (QA) committee from 2004 to 2014 at 3 hospitals. The reintubation rate was 0.09% (n=196). More reintubations occurred in the operating room than the postanesthesia care unit (58% vs 30%). Ninety-three reintubated patients (47%) were 65 years or older. Most patients were in ASA class 3 or 4 (76%) and had a surgical procedure lasting longer than 3 hours. Eleven reintubated patients (5%) died during the hospital course. The exact causes of reintubation could not be determined because of limited data in our QA database. We conclude that although the individual risk of reintubation for each patient is low, the reintubated patients have a higher mortality rate. The study findings emphasize the need for extra vigilance before anesthesia providers attempt extubation of a patient who is elderly, underwent surgery over 3 hours, has chronic obstructive airway disease, or has ASA class 3 or 4 status.

Original languageEnglish (US)
Pages (from-to)476-479
Number of pages4
JournalAANA Journal
Volume89
Issue number6
StatePublished - Dec 2021

Keywords

  • Anesthesiology
  • intraoperative complications
  • operating room
  • postanesthesia care unit
  • postoperative complications

ASJC Scopus subject areas

  • Medical–Surgical
  • Advanced and Specialized Nursing
  • Anesthesiology and Pain Medicine

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