Abstract
Introduction. The airway is one in which a trained anesthesiologist experiences difficulty in ventilation or difficulty in intubation, or both. Objective. To determine the outcome of patients over 18 years of age with a difficult airway and the characteristics of the institutional response capacity, at the Hospital Escuela Universitario, Tegucigalpa, Honduras. 2018-2020. Methods. Descriptive Cross-Sectional Study, with a sample of 80 patients with difficult airway. Non-probability sampling for convenience. The data were entered in EPI-INFO. Descriptive analysis was performed as measures of central tendency and grouping. The proportion was estimated using the formula: P = Number of people with difficult airways / number of patients older than 18 years multiplied by 100. The protocol was approved by the Ethics Committee in Biomedical Research / FCM / UNAH. Results. 28,8 % had ASA II anesthetic risk, 27,6 % had ASA IIE. 68,5 % had Grade III Cormack Lehane Scale, 7,5 % Grade II, 23,7 % Grade IV, 97,5 % of the intubation was successful, 2,5 % was unsuccessful. 36,3 % with a difficult airway are overweight, 25 % are type I obese, 13,8 % are type III obese and 8,3 %. There was 97,2 % of successful intubation and, in most, up to 2 attempts were required to achieve it. Conclusions. Obesity constitutes a risk factor for difficult ventilation and intubation, as well as an anesthetic risk. ASA II and III is also a risk factor for difficult airway.
Publisher
Salud, Ciencia y Tecnologia
Reference78 articles.
1. Alen H, Raina DEG. Perceived satisfaction with nursing care in relation to users/subjects of care and their companions in the Medical Clinic Service of the Hospital Zonal de Comodoro Rivadavia. Health Leadership and Quality of Life 2023;2:26-26. https://doi.org/10.56294/hl202326.
2. Alvarado J, Mille J, García O. VADO: algoritmo de vía aérea difícil oncológica en el Instituto Nacional de Cancerología de México. Rev Mex Anest. 2017;40(1):S129-S131. Disponible: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=72760
3. Arantza M, Gonzáles A, Pilar M. Vía aérea difícil, detección preoperatoria y manejo en quirófano. Rev Mex Anest. 2015;38(2):85-90. Disponible: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=58936
4. asd Buckley FP, Robinson NB, Simonowitz DA, Dellinger EP. Anaesthesia in the morbidly obese: a comparison of anesthetic and analgesic regimens or upper abdominal surgery. Anaesthesia. 1983;38:840-851. Disponible: https://doi.org/10.1111/j.1365-2044.1983.tb12249.x
5. Auza-Santiváñez JC, Díaz JAC, Cruz OAV, Robles-Nina SM, Escalante CS, Huanca BA. Bibliometric Analysis of the Worldwide Scholarly Output on Artificial Intelligence in Scopus. Gamification and Augmented Reality 2023;1:11-11. https://doi.org/10.56294/gr202311.