TABLE 2.
Descriptive data for aspiration episodes
| Data (n) | Age, year | Sex | ASA | Comorbidities | Procedure | Initial airway | Timing | Disposition |
|---|---|---|---|---|---|---|---|---|
| QA data (17) | 15.8 | F | 1 | None | Arthroscopic knee surgery | Natural airway | Unknown | Outpatient as planned |
| 3.8 | F | 3 | Asthma, heart surgery | Scoliosis surgery | ETT | Induction | ICU admit as planned | |
| 2.8 | F | 3 | Obstructive sleep apnea, heart transplant | Supraglottoplasty | Natural airwaya | Maintenance | ICU admit as plannedb | |
| 10.9 | F | 3 | Asthma, developmental delay, heart transplant | Cardiac catheterization | ETT | Induction | Floor admit as planned, antibiotic | |
| 3.2 | M | 2 | Hypotonia, developmental delay, failure to thrive | MRI | Laryngeal mask airwaya | Maintenance | Floor admit, unplanned | |
| 3.8 | F | 2 | Developmental delay, cerebral palsy | Tendon lengthening | ETT | Induction | Outpatient as planned | |
| 12.5 | M | 3 | Leukemia, gastroesophageal reflux | Bilateral orchiectomy | ETT | Emergence | Outpatient as planned | |
| 6.7 | M | 2 | Developmental delay | MRI | Natural airwaya | Maintenance | Outpatient as planned | |
| 10.6 | M | 3 | Myelomeningocele, contractures | Right lower extremity osteotomy | ETT | Induction | Floor admit as planned | |
| 1.8 | F | 3 | Wilm’s tumor | MRI | Laryngeal mask airwaya | Maintenance | Outpatient as planned | |
| 2.8 | M | 1 | None | Tonsil and adenoidectomy | ETT | Emergence | Floor admit as planned | |
| 0.2 | F | 3 | Hypoparastalsis (Berdon’s syndrome) | Jejunostomy revision | ETT | Induction | ICU admit as planned, antibiotic | |
| 3.2 | M | 3 | Brain tumor | MRI | Natural airwaya | Maintenance | Outpatient as planned | |
| 11.5 | F | 2 | Anxiety, gastroesophageal reflux disease | Upper Endoscopy | Natural airwaya | Induction | Outpatient as planned | |
| 3.2 | M | 3 | Leukemia, microcephaly | LP with chemo | Natural airway | Emergence | Outpatient as planned | |
| 7.5 | M | 2 | Developmental delay | Frenulotomy | ETT | Induction | Outpatient as planned | |
| 8.3 | M | 3 | Attention deficit disorder, anxiety, leukemia | LP, bone marrow biopsy | Laryngeal mask airwaya | Maintenance | Floor admit as planned | |
| Both sources (3) | 7.8 | F | 3 | Prior heart surgery | Cardiac catheterization | ETT | Emergence | ICU admit as planned, antibiotic |
| 17.2 | M | 2 | Developmental delay, anxiety, prior heart surgery | Tendon lengthening | ETT | Maintenance | Floor admit as planned, antibiotic | |
| 8.2 | F | 3 | Prior small bowel and colonic transplant | Upper Endoscopy | Natural airwaya | Maintenance | Floor admit as planned, antibiotic | |
| Billing data (6) | 13.2 | F | 3 | Leukemia with CNS involvement | LP, bone marrow biopsy | Natural airway | Maintenance | Floor admit as planned, antibiotic |
| 3.4 | F | 3 | Prior heart transplant | Cardiac catheterization | ETT | PACU | ICU admit, unplanned, antibioticb | |
| 3.2 | M | 3 | Developmental delay, gastrostomy tube | Gastrostomy tube exchange | ETT | Induction | Floor admit, unplanned, antibiotic | |
| 5 | M | 2 | Lymphoma | Central line removal | ETT | Induction | Floor admit, unplanned, antibiotic | |
| 10.8 | M | 2 | Asthma | Upper Endoscopy | Natural airway | Unknown | Floor admit as planned, antibiotic | |
| 5.4 | M | 3 | Leukemia | LP | Laryngeal mask airway | Maintenance | Floor admit as planned, antibiotic |
LP = Lumbar puncture; Unknown = Cases of aspiration in which the timing could not be determined by chart review.
a
Indicates patient required intraoperative airway management with an ETT following aspiration (extubation upon completion of procedure).
b
Indicates patient required postoperative airway management with an ETT following aspiration.