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Is the anesthesiologist actually prepared for loss of airway or respiratory function? A cross-sectional study conducted in a tertiary hospital.
Vasconcelos, Helga; Bomfim, Camila Cavalcante; Mello, Maria Julia Gonçalves de Mello; Borges, Paulo Sérgio Gomes Nogueira; Couceiro, Tania Cursino de Menezes; Orange, Flávia Augusta de.
Afiliação
  • Vasconcelos H; Medical Degree, University of Pernambuco, Recife, PE, Brazil.
  • Bomfim CC; Fellow, Scientific Initiation Program, FPS, Recife, PE, Brazil.
  • Mello MJ; Professor, Faculdade Pernambucana de Saúde, Recife, PE, Brazil.
  • Borges PS; Doctoral student, IMIP, Recife, PE, Brazil.
  • Couceiro TC; Specialist certificate, Pain Management awarded, Brazilian Medical Association, Brazilian Society of Anesthesiology, Recife, PE, Brazil.
  • Orange FA; Professor, Faculdade Pernambucana de Saúde, Recife, PE, Brazil.
Rev Assoc Med Bras (1992) ; 60(1): 40-6, 2014.
Article em En | MEDLINE | ID: mdl-24918851
OBJECTIVE: To identify compliance with the procedures for securing the airway of patients submitted to anesthesia, defined as highly recommended in the World Health Organization Surgical Safety Checklist. METHODS: A prospective, cross-sectional, observational study was conducted with 87 patients aged 18 to 60 years, classified as ASA grade 1 or 2 according to the American Society of Anesthesiologists' Physical Status Classification. The study variables consisted of: whether the Mallampati test had been performed, whether equipment was readily available for orotracheal intubation, whether the correct placement of the endotracheal tube was verified, whether patient ventilation was monitored and whether fasting was confirmed. Prevalence ratios and their respective 95% confidence intervals were calculated as measures of relative risk. Statistical significance was defined at 5%. RESULTS: It was found that in 87.4% of patients, the airway was not evaluated using the Mallampati classification and in 51.7% of cases, preoperative fasting was not confirmed. In 29.9% of cases, the ready availability of equipment for orotracheal intubation was not verified. In all of the cases in which the availability of this equipment was not checked, the patient was submitted to regional anesthesia, with a statistically significant difference compared to the cases in which the patient was submitted to general anesthesia. CONCLUSION: Measures considered essential for the safety of the patient during surgery are still being ignored.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Manuseio das Vias Aéreas / Complicações Intraoperatórias / Intubação Intratraqueal / Anestesia por Condução / Anestesiologia Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies Limite: Adolescent / Adult / Humans / Middle aged Idioma: En Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Manuseio das Vias Aéreas / Complicações Intraoperatórias / Intubação Intratraqueal / Anestesia por Condução / Anestesiologia Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies Limite: Adolescent / Adult / Humans / Middle aged Idioma: En Revista: Rev Assoc Med Bras (1992) Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil