Avoidance of neuromuscular blocking agents may increase the risk of difficult tracheal intubation: a cohort study of 103 812 consecutive adult patients.

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Avoidance of neuromuscular blocking agents may increase the risk of difficult tracheal intubation: a cohort study of 103 812 consecutive adult patients recorded in the Danish Anaesthesia Database  L.H. Lundstrøm, A.M. Møller, C. Rosenstock, G. Astrup, M.R. Gätke, J. Wetterslev  British Journal of Anaesthesia  Volume 103, Issue 2, Pages 283-290 (August 2009) DOI: 10.1093/bja/aep124 Copyright © 2009 British Journal of Anaesthesia Terms and Conditions

Fig 1 Selection of the study cohort. About 374 308 records of patients undergoing anaesthesia were identified in the Danish Anaesthesia Database. Excluding records of anaesthesia other than patients undergoing general or combined anaesthesia who were primarily undergoing tracheal intubation, the cohort included 148 546 records. Recorded intubations were excluded as explained in the figure. The subgroup of 15 512 records representing the penultimate intubations of patients intubated more than once was merged to the corresponding last intubation for the specific patient, and thereby information for the covariate PDI was created. Thus, 88 265 patients were only tracheal intubated once, 15 512 patients were intubated two or more times, while information was missing for 35. British Journal of Anaesthesia 2009 103, 283-290DOI: (10.1093/bja/aep124) Copyright © 2009 British Journal of Anaesthesia Terms and Conditions