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5.
Rev. esp. anestesiol. reanim ; 56(9): 536-540, nov. 2009. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-75404

RESUMO

OBJETIVO: Evaluar la utilidad del laringoscopio ópticoAirtraq®, evaluando sus indicaciones y beneficios, asícomo las posibles limitaciones de su empleo en una serieretrospectiva de pacientes.PACIENTES Y MÉTODOS: Revisión retrospectiva de losprimeros 124 pacientes de nuestro centro cuya intubaciónendotraqueal fue realizada con Airtraq®. Se tuvieronen cuenta variables anatómicas y demográficas delos pacientes, así como la exploración preoperatorio dela vía aérea. Tras la realización de la intubación con Airtraq® se recogieron datos en cuanto a su facilidad demanejo y calidad del procedimiento.RESULTADOS: En un 97,6% de los pacientes se consiguióuna intubación correcta y en sólo 3 (2,4%) pacientesfue imposible. La calidad de la laringoscopia fue óptimaen más del 95% de los casos. Las complicaciones eincidencias fueron mínimas.CONCLUSIÓN: El laringoscopio Airtraq® ha demostradoque facilita la intubación en aquellos casos en losque intentos previos de laringoscopia han sido infructuososy en pacientes con predictores evidentes de víaaérea difícil (VAD), incluso cuando fue empleado porpersonal no entrenado en su uso. La facilidad en suempleo y su relativa inocuidad, lo convierten en unpráctico dispositivo en distintos tipos de pacientes ysituaciones clínicas(AU)


OBJECTIVES: To evaluate the utility of the AirTraqoptical laryngoscope in a retrospective case series,assessing indications for use and benefits as well aspossible limitations.PATIENTS AND METHODS: Retrospective study of the first124 patients in whom we used the AirTraq for trachealintubation. Anatomical and demographic variables wererecorded in addition to preoperative findings onexamination of the airway. Ease in accomplishing themaneuver and quality of the procedure were assessedafter intubation with the AirTraq.RESULTS: The trachea was correctly intubated in97.6% of the patients. Intubation failed in only 3 (2.4%)patients. Laryngoscopic quality was optimal in over95% of the cases. There were few complications or otherevents.CONCLUSIONS: The AirTraq laryngoscope has beenshown to facilitate intubation even when nonexpert staffperform the maneuver in cases in which previousattempts at laryngoscopy have failed and in which adifficult airway is anticipated. Ease of use and relativesafety make the AirTraq a practical device for a varietyof patient types and clinical settings(AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Laringoscópios/tendências , Laringoscópios , Conhecimentos, Atitudes e Prática em Saúde , Intubação/métodos , Intubação Intratraqueal/instrumentação , Intubação Intratraqueal/estatística & dados numéricos , Intubação Intratraqueal/tendências , Estudos Retrospectivos , Anestesia Geral/instrumentação , Anestesia Geral/métodos
6.
Rev Esp Anestesiol Reanim ; 56(9): 536-40, 2009 Nov.
Artigo em Espanhol | MEDLINE | ID: mdl-20112544

RESUMO

OBJECTIVES: To evaluate the utility of the AirTraq optical laryngoscope in a retrospective case series, assessing indications for use and benefits as well as possible limitations. PATIENTS AND METHODS: Retrospective study of the first 124 patients in whom we used the AirTraq for tracheal intubation. Anatomical and demographic variables were recorded in addition to preoperative findings on examination of the airway. Ease in accomplishing the maneuver and quality of the procedure were assessed after intubation with the AirTraq. RESULTS: The trachea was correctly intubated in 97.6% of the patients. Intubation failed in only 3 (2.4%) patients. Laryngoscopic quality was optimal in over 95% of the cases. There were few complications or other events. CONCLUSIONS: The AirTraq laryngoscope has been shown to facilitate intubation even when nonexpert staff perform the maneuver in cases in which previous attempts at laryngoscopy have failed and in which a difficult airway is anticipated. Ease of use and relative safety make the AirTraq a practical device for a variety of patient types and clinical settings.


Assuntos
Intubação Intratraqueal/métodos , Laringoscópios , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Obstrução das Vias Respiratórias , Anestesiologia , Competência Clínica , Desenho de Equipamento , Feminino , Tecnologia de Fibra Óptica , Humanos , Intubação Intratraqueal/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Adulto Jovem
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