Oral Intubation v. Nasal Intubation in Adult Cardiac Surgery

Depoix, Jean‐Pol; Malbezin, S.; Videcoq, M.; Hazebroucq, J.; Barbier-Bohm, G.; Gauzit, R.; Desmonts, Jean-Marie

doi:10.1097/00132586-198712000-00011

Cited by 3 publications

(15 citation statements)

References 4 publications

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“…[4], in a series of 50 children, and Depoix et al. [9], in a series of 97 adults, concluded that nasotracheal intubation led to the passage of micro‐organisms into the bloodstream in a greater number of cases (16% and 9%) than orotracheal intubation (0% and 2%). Based on these results, Berry et al.…”

Section: Discussionmentioning

confidence: 99%

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The incidence of bacteraemia associated with tracheal intubation

et al. 2008

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Summary Expert committees on bacterial endocarditis prophylaxis have provided differing opinions on whether tracheal intubation is an ‘at‐risk’ manipulation. We studied the incidence of bacteraemia after orotracheal and nasotracheal intubation. The study group comprised 110 patients who underwent surgery under general anaesthesia. Venous blood samples were collected from each patient at baseline and 30 s after intubation. Samples were processed with conventional microbiological techniques. Bacteraemia after tracheal intubation was detected in 13 patients (11.8%); six after orotracheal intubation and seven after nasotracheal intubation. Staphylococci and streptococci were the most commonly isolated bacterial species. Seven isolates (54%) were resistant to oxacillin. The incidence of bacteraemia was similar after orotracheal (12.0%) and nasotracheal intubation (11.7%). The recommendation for bacterial endocarditis prophylaxis with flucloxacillin when performing nasotracheal intubation, as put forward by the British Society for Antimicrobial Chemotherapy, needs further consideration.

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Section: Discussionmentioning

confidence: 99%

“…With regard to the aetiology of bacteraemia secondary to tracheal intubation, McShane and Hone [7] and Depoix et al. [9] found that coagulase‐negative staphylococci were the most frequently identified bacteria. This result agrees with the findings of our study, as Staphylococcus spp.…”

Section: Discussionmentioning

confidence: 99%

The incidence of bacteraemia associated with tracheal intubation

et al. 2008

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“…Nasotracheal intubation is used for general anesthesia in the dental treatment of young, anxious and/or mentally retarded children and is a procedure where anesthesiologists are vigilant because of iatrogenic anesthesia complications (6). The time for placement of the tube was 2.5 times longer in nasal than oral intubation (9) and it is frequently accompanied by bleeding, either from the septum or turbinates, appearing in the nostril or the hypopharynx (6).…”

Section: Discussionmentioning

confidence: 99%

“…Endocarditis most often occurs in people with preexisting heart disease (which may or may not be known to patients or their physicians) and less commonly in people with normal hearts (2). Instrumentation of the upper airway such as endoscopy (3), suctioning (4) and tracheal intubation (1,3,5–11) has been shown to be associated with bacteremia. Berry et al .…”

Section: Introductionmentioning

confidence: 99%

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Investigation of bacteremia following nasotracheal intubation

Önçağ

Cökmez

Aydemir

et al. 2005

Pediatric Anesthesia

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Infective Endocarditis After Transcatheter Versus Surgical Aortic Valve Replacement: A Meta-Analysis

Wang

Hou

et al. 2020

Angiology

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We determined the incidence, clinical characteristics, and risk factors of post-transcatheter aortic valve replacement (TAVR)–associated infective endocarditis (IE). We compared the incidence of IE after TAVR versus after surgical aortic valve replacement (SAVR). The incidence rate of IE 1-year post-TAVR was 0.9% (95% confidence interval [CI]: 0.8-1.0). Transcatheter aortic valve replacement was associated with significantly reduced IE incidence (incidence rate ratio: 0.69, 95% CI: 0.52-0.92, P = .011) compared with SAVR. In patients with TAVR IE, the pooled in-hospital mortality was 37.8% (95% CI: 32.4-43.3, I 2 = 54.9%). Pooled adjusted hazard ratio (HR) revealed that peri-procedural peripheral artery disease (HR: 4.02, 95% CI: 2.28-7.10, P < .0001), moderate or severe residual aortic regurgitation (HR: 2.34, 95% CI: 1.53-3.59, P < .0001), orotracheal intubation (HR: 2.13, 95% CI: 1.19-3.82, P = .011), and male gender (HR: 1.70, 95% CI: 1.47-1.97, P < .0001) were risk factors for post-TAVR IE. Post-TAVR IE is a life-threatening complication often resulting in in-hospital mortality. The current evidence-based meta-analysis to identify risk factors may lead to the development of effective preventive and therapeutic strategies for post-TAVR IE to ultimately improve patient outcomes.

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Oral Intubation v. Nasal Intubation in Adult Cardiac Surgery

Cited by 3 publications

References 4 publications

The incidence of bacteraemia associated with tracheal intubation

The incidence of bacteraemia associated with tracheal intubation

Investigation of bacteremia following nasotracheal intubation

Infective Endocarditis After Transcatheter Versus Surgical Aortic Valve Replacement: A Meta-Analysis

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