Related Experiment Video

Updated: May 17, 2026

Establishment of an Oronasal Fistula Mice Model
03:51

Establishment of an Oronasal Fistula Mice Model

Published on: September 8, 2023

Perioperative risk factors for adverse airway events in patients undergoing cleft palate repair

Oksana Jackson, Marten Basta, Seema Sonnad

    The Cleft Palate-Craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
    |October 23, 2012
    PubMed

    Insights

    Pediatric palatoplasty patients with craniofacial syndromes or prior airway issues face higher risks of adverse airway events (AAEs). Provider inexperience also correlates with increased AAEs, necessitating careful preoperative planning.

    Area of Science:

    • Pediatric Anesthesiology
    • Craniofacial Surgery
    • Airway Management

    Background:

    • Palatoplasty is a common procedure in pediatric patients.
    • Perioperative airway complications can significantly impact patient outcomes.

    Purpose of the Study:

    • To determine the incidence of perioperative airway complications in pediatric palatoplasty.
    • To identify patient, procedural, and provider factors associated with adverse airway events (AAEs).

    Main Methods:

    • Retrospective chart review of 300 pediatric patients undergoing palatoplasty.
    • Analysis of patient-specific, procedural, and provider factors.
    • Defined AAEs including airway obstruction, hypoxia, bronchospasm, laryngospasm, reintubation, and ICU admission.

    Main Results:

    • Adverse airway events (AAEs) occurred in 23% of patients.
    • Syndromic patients, those with jaw/tracheal anomalies, and a history of difficult airways had higher AAE rates.
    • Surgeon/anesthesiologist inexperience and longer operative times were also significant risk factors.

    Conclusions:

    • Craniofacial syndromes, preoperative airway problems, and provider inexperience are key predictors of AAEs.
    • Identifying high-risk patients allows for optimized preoperative planning.
    • Minimizing AAEs improves surgical outcomes in pediatric palatoplasty.

    More Related Videos

    The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation03:58

    The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation

    Published on: August 2, 2024

    Related Concept Videos

    Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

    Cardiopulmonary Resuscitation II: ACLS Airway Management

    Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
    Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

    Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

    Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
    Suctioning the Nasopharyngeal Airway01:29

    Suctioning the Nasopharyngeal Airway

    Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
    Equipment Required
    Tracheostomy Care I: Pre-procedural Steps01:16

    Tracheostomy Care I: Pre-procedural Steps

    A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
    Required Equipment
    The equipment necessary for tracheostomy care includes:
    Assessment of Airway, Skin Color, and Use of Accessory Muscles01:30

    Assessment of Airway, Skin Color, and Use of Accessory Muscles

    A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
    Introduction
    The initial evaluation of a patient's respiratory system...
    Tracheostomy Suctioning I: Pre-Procedural Steps01:26

    Tracheostomy Suctioning I: Pre-Procedural Steps

    Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
    Equipment Required
    First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...