Preparing for landing: Validation of the SPORC-2 scale for eartly reintubation

Authors

  • Juan José José Correa Barrera Associate Physician. University Hospital Severo Ochoa, Leganés, Madrid, Spain.
  • Mónica San Juan Álvarez Associate Physician. University Hospital Severo Ochoa, Leganés, Madrid, Spain.
  • Blanca Gómez Del Pulgar Resident doctor. University Hospital Severo Ochoa, Leganés, Madrid, Spain.
  • Ruben Saz Castro Resident doctor. University Hospital Severo Ochoa, Leganés, Madrid, Spain.

DOI:

https://doi.org/10.30445/rear.v13i5.926

Keywords:

Early reintubation, Algorithm, pulmonary complications postoperative, SPORC-2

Abstract

Early reintubation is a marker that is directly related to an increase in postoperative hospital stay, 30-day mortality from all causes, and 30-day readmission rate, through an increase in pulmonary complications postoperative.

The SPORC-2 scale is presented as a useful tool and is an improvement with respect to the existing scales in predicting the risk of early reintubation, based on the evaluation of variable preoperative and intraoperative items. This tool is presented as a dynamic element and easy to use, which will allow a decision to be taken towards successful extubation. It allows correct planning and taking the least possible risk, which translates into an important advantage for both the patient and for the clinician.

References

- Gupta PK, Gupta H, Sundaram A et al. Development validation of a risk calculator for prediction of cardiac risk after surgery. Circulation. 2011; 124(4):381-387.

- Canet J, Gallart L, Gomar C, et al. Prediction of postoperative pulmonary complications in a population-based surgical cohort. Anesthesiology 2010; 113: 1338–50.

- Brueckmann B, Villa-Uribe JL, Bateman BT, et al. Development and validation of a score for prediction of postoperative respiratory complications. Anesthesiology 2011;28:220-4.

- Nafiu OO, Ramachandran SK, Ackwerh R, Tremper KK, Campbell DA Jr, Stanley JC. Factors associated with and consequences of unplanned post-operative intubation in elderly vascular and general surgery patients. European Journal of Anaesthesiology 2011; 28: 220–4.

- Snyder CW, Patel RD, Robertson EP, Hawn MT. Unplanned intubation after surgery: risk factors, prognosis, and medical emergency team effects. Am Surg 2009; 75:834-838.

- S.R. Shackford, R.W. Virgilio, R.M. Peters. Early extubation versus prophylactic ventilation in the high risk patient: a comparison of postoperative management in the prevention of respiratory complications. Anesth Analg, 60 (1981), pp. 76-80.

- E. Curiel, M.A. Prieto, J. Muñoz, M.D. Arias, J. Mora, G. Quesada. Decisión del momento de extubación del postoperado de cirugía maxilofacial en la unidad de cuidados intensivos. Medicina Intensiva 2009, 33(2), pp.63-67.

- A.Guerrero, N.González, J.A.Castro. Extubación ultra fast-track vs. convencional tras cirugía cardiaca en un centro de referencia cardiovascular en Colombia. Revista Esp Anest y Rean 2019, 66:10-17.

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Published

2021-06-02

How to Cite

Correa Barrera, J. J. J., San Juan Álvarez, M., Gómez Del Pulgar, B., & Saz Castro, R. (2021). Preparing for landing: Validation of the SPORC-2 scale for eartly reintubation. Revista Electrónica AnestesiaR, 13(5). https://doi.org/10.30445/rear.v13i5.926

Issue

Vol. 13 No. 5 (2021): Revista Electrónica de AnestesiaR

Section

Critical reviews of articles

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Copyright (c) 2021 Revista Electrónica AnestesiaR

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