Are Intoxicated Trauma Patients at an Increased Risk for Intraoperative Anesthetic Complications? A Retrospective Study
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) trau...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2020/2157295 |
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| author | Brian D. Wolf Swapna Munnangi Raymond Pesso Charles McCahery Madhu Oad |
| author_facet | Brian D. Wolf Swapna Munnangi Raymond Pesso Charles McCahery Madhu Oad |
| author_sort | Brian D. Wolf |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-05b2c01617ee4f2e9d6b289806a315e1 |
| institution | OA Journals |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-05b2c01617ee4f2e9d6b289806a315e12025-08-20T02:02:57ZengWileyAnesthesiology Research and Practice1687-69621687-69702020-01-01202010.1155/2020/21572952157295Are Intoxicated Trauma Patients at an Increased Risk for Intraoperative Anesthetic Complications? A Retrospective StudyBrian D. Wolf0Swapna Munnangi1Raymond Pesso2Charles McCahery3Madhu Oad4Resident of the Department of Oral and Maxillofacial Surgery, Nassau University Medical Center, East Meadow, New York, USADivision of Trauma, Department of Surgery, Nassau University Medical Center, East Meadow, New York, USADepartment of Anesthesia, Nassau University Medical Center, East Meadow, New York, USAAmerican University of the Caribbean School of Medicine, Sint Maarten, NetherlandsAmerican University of the Caribbean School of Medicine, Sint Maarten, NetherlandsBackground. 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.http://dx.doi.org/10.1155/2020/2157295 |
| spellingShingle | Brian D. Wolf Swapna Munnangi Raymond Pesso Charles McCahery Madhu Oad Are Intoxicated Trauma Patients at an Increased Risk for Intraoperative Anesthetic Complications? A Retrospective Study Anesthesiology Research and Practice |
| title | Are Intoxicated Trauma Patients at an Increased Risk for Intraoperative Anesthetic Complications? A Retrospective Study |
| title_full | Are Intoxicated Trauma Patients at an Increased Risk for Intraoperative Anesthetic Complications? A Retrospective Study |
| title_fullStr | Are Intoxicated Trauma Patients at an Increased Risk for Intraoperative Anesthetic Complications? A Retrospective Study |
| title_full_unstemmed | Are Intoxicated Trauma Patients at an Increased Risk for Intraoperative Anesthetic Complications? A Retrospective Study |
| title_short | Are Intoxicated Trauma Patients at an Increased Risk for Intraoperative Anesthetic Complications? A Retrospective Study |
| title_sort | are intoxicated trauma patients at an increased risk for intraoperative anesthetic complications a retrospective study |
| url | http://dx.doi.org/10.1155/2020/2157295 |
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