Are Intoxicated Trauma Patients at an Increased Risk for Intraoperative Anesthetic Complications? A Retrospective Study
Table 3
Anesthetic management.
Variable
Total sample (n = 847)
Urine toxicology positive (n = 328)
Urine toxicology negative (n = 519)
value
Anesthesia type
0.0128
General
722 (85.24%)
289 (88.11%)
433 (83.43%)
IVS
16 (1.89%)
8 (2.44%)
8 (1.54%)
Local/regional
56 (6.61%)
10 (3.05%)
46 (8.86%)
General and IVS
3 (0.35%)
1 (0.30%)
2 (0.39%)
General and local/regional
22 (2.60%)
11 (3.35%)
11 (2.12%)
IVS and local/regional
28 (3.31%)
9 (2.74%)
19 (3.66%)
Anesthesia time (hrs)
3.2 ± 2.0
3.3 ± 2.1
3.2 ± 1.9
0.7850
Change in temperature (F)
0.1 ± 1.4
0.0 ± 1.3
0.1 ± 1.4
0.6725
ASAa
0.0534
1
50 (5.95%)
20 (6.13%)
30 (5.83%)
1E
62 (7.37%)
27 (8.28%)
35 (6.80%)
2
186 (22.12%)
73 (22.39%)
113 (21.94%)
2E
142 (16.88%)
64 (19.63%)
78 (15.15%)
3
181 (21.52%)
53 (16.26%)
128 (24.85%)
3E
70 (8.32%)
24 (7.36%)
46 (8.93%)
4
61 (7.25%)
20 (6.13%)
41 (7.96%)
4E
66 (7.85%)
34 (10.43%)
32 (6.21%)
5E
21 (2.50%)
10 (3.07%)
11 (2.14%)
E
2 (0.24%)
1 (0.31%)
1 (0.19%)
Anesthesia complicationsb
83 (9.85%)
37 (11.28%)
46 (8.93%)
0.2645
Paralyticsc
705 (83.43%)
285 (86.89%)
420 (81.24%)
0.0313
Sedativesc
833 (98.58%)
324 (98.78%)
509 (98.45%)
0.6946
Antiemetics
526 (62.10%)
193 (58.84%)
333 (64.16%)
0.1200
Reversal agentsc
408 (48.28%)
138 (42.07%)
270 (52.22%)
0.0040
Other drugs
644 (76.21%)
239 (72.87%)
405 (78.34%)
0.0687
Intubated
724 (88.08%)
288 (91.72%)
436 (85.83%)
0.0130
Immediate extubation
528 (64.23%)
190 (60.51%)
338 (64.02%)
0.0800
Delayed extubationd
195 (23.72%)
97 (30.89%)
98 (19.29%)
<0.001
Time until extubation (hr:min:sec)e
47:37:06
42:35:12
52:27:49
0.3909
Mortalityf
59 (7.01%)
26 (7.95%)
33 (6.41%)
0.3925
Values are expressed as mean ± sd or n (%). . IVS, intravenous sedation; ASA, American Society of Anesthesiologists physical status classification; E, emergency; amissing n = 6; bmissing n = 4; cmissing n = 2; dmissing n = 25; emissing n = 115 due to hospital transfers, patient mortality, patients receiving tracheostomy postoperatively, or missing information; fmissing n = 5.
