BACKGROUND: Optimal airway management following repair of cervical @entity130 is unknown. This study aims to determine the optimal airway strategy following cervical @entity130 repair. METHODS: @entity1 with cervical @entity130 admitted 01/2000-01/2014 at seven U.S. Level I @entity130 centers were identified. @entity1 were grouped depending on post-operative airway management: immediate or early extubation ( <=24 hours, @entity5608 ), prolonged intubation (>24 hours, INT), and immediate tracheostomy (TRACH). Following univariate analysis, a multivariate model was then developed to evaluate for @entity281 ( @entity281 ) and ICU-free and ventilator-free days, comparing INT and TRACH to @entity5608 as the reference. RESULTS: 120 cervical @entity130 were treated at seven Level I @entity130 centers. Ten @entity1 were excluded for incomplete data and seven died within 24 hours of admission, leaving 103 @entity1 included in the study. @entity1 were grouped based on airway management: 40 (39%) in @entity5608 , 30 (29%) in INT, and 33 (32%) in TRACH. There were no differences in demographics or injury mechanism. The INT and TRACH groups were more severely injured than the @entity5608 group (median ISS INT 25 and TRACH 17 vs @entity5608 16, p<0.01). Despite a higher @entity281 rate (TRACH 21% vs INT 13% vs @entity5608 2%, p=0.11), the TRACH group had a lower mortality rate (TRACH 0% vs INT 13% vs @entity5608 0%, p<0.01) and more ventilator-free days compared to the INT cohort. On multivariate analysis, tracheostomy was associated with an increased risk in the odds of @entity281 (OR 9.56, 95% CI 1.35-67.95) compared to both @entity5608 and INT, while INT was associated with fewer ventilator-free days (corr. coef. -9.24, 95% CI -12.30 to -6.18) compared to both @entity5608 and TRACH. CONCLUSION: In @entity1 with a cervical @entity130 , immediate or early extubation was common and safe. However, among those with more severe injuries, immediate tracheostomy versus prolonged intubation presents a risk-benefit decision. Immediate tracheostomy is associated with increased risk of @entity281 while prolonged intubation is associated with higher risk of mortality and fewer ventilator-free days. LEVEL OF EVIDENCE: Therapeutic study, Level IV.

Airway management following repair of cervical XXXX : A retrospective, multicenter study.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity281 :: ('MESH:D007239', 'Disease') :: ['surgical site infection', 'SSI'] @entity5608 :: ('OMIM:133700', 'Disease') :: ['EXT'] @entity130 :: ('MESH:D014947', 'Disease') :: ['tracheal injuries', 'tracheal injury', 'trauma']
@entity130 :: (MESH:D014947,Disease) :: ['tracheal injuries']
