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A Standardized Extubation Schedule Reduces Respiratory Events After Extubation Following Mandibular Distraction in

Yingyi Xu1, Yonghong Tan1, Na Zhang1

  • 1Department of Anaesthesiology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|June 13, 2021
PubMed

Insights

Implementing a standardized extubation protocol for infant mandibular distraction osteogenesis (MDO) significantly reduced post-extubation respiratory events. This protocol improves patient outcomes compared to traditional management.

Area of Science:

  • Pediatric surgery
  • Anesthesiology
  • Critical care medicine

Background:

  • Mandibular distraction osteogenesis (MDO) is a surgical procedure for infant craniofacial abnormalities.
  • The optimal timing for extubation following MDO in infants remains unclear.
  • Respiratory complications are a concern in the postoperative period.

Purpose of the Study:

  • To evaluate the impact of a standardized extubation protocol on clinical outcomes in infants undergoing MDO.
  • To compare respiratory events and other postoperative parameters before and after protocol implementation.

Main Methods:

  • Retrospective cohort study of infants (<1 year) undergoing MDO.
  • Comparison of two groups: pre-protocol and post-protocol implementation.
  • Analysis of respiratory events, mechanical ventilation duration, length of stay, and extubation success.

Main Results:

  • The protocol group (135 infants) had fewer post-extubation respiratory events (9.6%) compared to the pre-protocol group (142 infants, 21.1%).
  • The protocol group showed significantly lower adjusted relative risk (0.46) for respiratory events.
  • Patients in the protocol group were heavier, and had shorter operation and anesthesia durations.

Conclusions:

  • Standardizing extubation practices in infants undergoing MDO effectively reduces postoperative respiratory events.
  • Protocol implementation offers a safer approach compared to traditional extubation management.
Abstract

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