{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:57:29Z","timestamp":1790776649238,"version":"4.1.0"},"reference-count":8,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,9]]},"abstract":"\n Objective:<\/jats:bold>\n To characterize pediatric patients experiencing unplanned intraoperative extubation (UIE) during cleft lip (CL) and cleft palate (CP) repair and assess postoperative outcomes.\n Design:<\/jats:bold>\n Retrospective cohort study using the 2019\u20132023 National Surgical Quality Improvement Program\u2013Pediatric database.\n Setting:<\/jats:bold>\n Multicenter surgical registry of pediatric operations.\n Patients:<\/jats:bold>\n Children undergoing CL repair (<1 year) or CP repair (<3 years).\n Interventions:<\/jats:bold>\n Not applicable.\n Main Outcome Measure(s):<\/jats:bold>\n Incidence of UIE, demographic and operative characteristics, and 30-day postoperative complications.\n Results:<\/jats:bold>\n Among 17 047 cases, UIE occurred in 0.37% of CL repairs and 0.20% of CP repairs. Patients who experienced UIE had similar baseline characteristics to those without UIE but demonstrated significantly longer operative and anesthesia times for both procedures. Despite these intraoperative events, no cases of death, pneumonia, or unplanned reintubation occurred postoperatively, and overall 30-day complication rates remained low.\n Conclusions:<\/jats:bold>\n UIE during CL and CP repair is rare and not associated with major postoperative complications.\n <\/jats:p>","DOI":"10.1177\/10556656251391517","type":"journal-article","created":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:19:59Z","timestamp":1761844799000},"page":"2822-2825","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["An Analysis of Unplanned Intraoperative Extubation in Cleft Lip and Palate Repair"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4914-7369","authenticated-orcid":false,"given":"Aidin","family":"Gharavi","sequence":"first","affiliation":[{"name":"Mayo Clinic Alix School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jainaha K","family":"Srikumar","sequence":"additional","affiliation":[{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawit","family":"Haile","sequence":"additional","affiliation":[{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir","family":"Mardini","sequence":"additional","affiliation":[{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2082-6654","authenticated-orcid":false,"given":"Waleed","family":"Gibreel","sequence":"additional","affiliation":[{"name":"Mayo Clinic"},{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,30]]},"reference":[{"issue":"1","key":"e_1_3_3_2_2","first-page":"14","article-title":"Unplanned extubation in the perioperative environment","volume":"37","author":"Berkow L","year":"2022","unstructured":"Berkow L, Kanowitz A. Unplanned extubation in the perioperative environment. APSF Newsl. 2022;37(1):14-16, 18.","journal-title":"APSF Newsl"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.4103\/ija.IJA_250_19"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/pan.14709"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.10.149"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/pan.15121"},{"key":"e_1_3_3_7_2","unstructured":"American College of Surgeons. ACS-NSQIP pediatric. Accessed February 3 2025 https:\/\/www.facs.org\/quality-programs\/data-and-registries\/pediatric\/"},{"key":"e_1_3_3_8_2","unstructured":"R Core Team. R: a language and environment for statistical computing. Version 4.4.2. R Foundation for Statistical Computing; 2024. Accessed July 26 2025. https:\/\/www.r-project.org\/"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjae.2021.06.002"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251391517","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656251391517","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656251391517","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:12:08Z","timestamp":1790773928000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656251391517"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,30]]},"references-count":8,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/10556656251391517"],"URL":"https:\/\/doi.org\/10.1177\/10556656251391517","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,30]]}}}