evaluate the incidence of preoperative hyponatremia prior to urgent tracheostomy, identify its risk factors, and survey the perioperative complication hyponatremia, preoperative laboratory, urgent tracheostomy, serum sodium
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: patients presenting with acute upper airway obstruction underwent urgent tracheostomy in ENT surgical unit during 10 year period 1. signs and symptoms of acute upper airway obstuction included 1.1 loss of voice or hoarseness 1.2 difficulty breathing 1.3shortness of breath at rest or on exertion 1.4stridor, abnormal respiratory rate, nasal flaring 1.5 use of accessory respiratory muscles 2. preoperative 48-hour serum sodium blood test
Exclusion criteria
Exclusion criteria: 1.incomplete medical records 2. pre-existing hyponatremia requiring chronic management 3. elective tracheostomy 4.absence of endotracheal intubation or percutaneous tracheostomy 5.conversion tracheostomy from prior cricothyroidotomy before entering the operating room 6.history of chronic hyponatremia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of preoperative hyponatremia during 10 year period (January 1, 2014 to December 31, 2023) percent of incidence of preoperative hyponatremia | — |
Secondary
| Measure | Time frame |
|---|---|
| ASA physical status and BMI during 10 year period (January 1, 2014 to December 31, 2023) risk factors for preoperative hyponatremia | — |
Countries
Thailand
Contacts
Siriraj hospital