Respiratory disorder, unspecified
Conditions
Interventions
The study will be conducted at the Anesthesiology Service of the Central Hospital of the Army (HCE),in Rio de Janeiro, after approval by the Institutional Medical Ethics Committee.
Sample Selection Cr
Procedure/surgery
Behavioural
Sponsors
Hospital Central do Exército
Hospital Central do Exército
Eligibility
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: Patients over 18 years old; with pre-anesthetic physical status classification according to the American Society of Anesthesiology ( ASA) 1 or 2, that is, without functional limitation or slight limitation.
Exclusion criteria
Exclusion criteria: The following factors are considered exclusion criteria: refuse of the patient or guardian; cervical spine surgery; head and neck tumors or anatomical deviations of the airway; mandibular joint disease; cervical mobility restriction; coagulation disorders; morbid obesity and risk of bronchoaspiration.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected to compare the degree of difficulty and safety in routine tracheal intubation using direct laryngoscopy and videolaryngoscopy techniques performed by resident physicians, who will be assessed through a table whose maximum score is 100 points, if the procedure is performed within the following criteria: 1 - Preparation of the laryngoscope, tracheal tube, oropharyngeal cannulas, fixation tapes and stethoscope. 2 - Ventilation under efficient mask. 3 - Appropriate extension of the atlanto-occipital joint. 4 - Proper insertion of the laryngoscope a - Insert the conventional laryngoscope from right to left of the mouth, moving it towards the midline. b - Insert the videolaryngoscope along the midline. 5 - Properly request help to press the cricoid (down, up or right). 6 - Properly expose the glottis, with Cormack Lehane Index. 7 - Insert the tracheal tube through the glottic slit 8 - Inflate the tube cuff appropriately 9 - Listening to both lungs to identify the positioning of the tube and fix it with adhesives. 10 - Intubation time calculated from mouth opening until the appearance of the first wave of capnography. The occurrence of esophageal intubation; selective bronchial intubation; tube not inserted after the sequence of events for 2 or more times; airway injury, in case of bleeding, dental injury, laryngeal edema, stridor, tracheal injury; and hypoxia will result in loss of score. | — |
Secondary
| Measure | Time frame |
|---|---|
| It is expected to compare the evolution of the technique skill according to the individual training time between the 3 years of residence. ; From the data found develop an application to evaluate intubation performance during the training period in the teaching and training center (CET). | — |
Countries
Brazil
Contacts
Public ContactDayse Rodrigues
Hospital Central do Exército
Outcome results
None listed