Validación de la utilidad clínica del catéter articulado orotraqueal en salas de cirugía y cuidado intensive

Translated title of the contribution: Validation of the clinical usefulness of an articulated orotracheal catheter in the operating room and intensive care

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective. To assess the clinical usefulness of the articulated orotracheal catheter (AOC). Clinical scenario. Operating rooms of Clínica San Pedro Claver de Bogotá, between February and August 2007, operating rooms of Hospital Universitario Mayor de Bogotá, between September 2007 and July 2008, intensive care unit of Clínica Especializada de los Andes in Tunja, between September 2008 and April 2010. Materials and methods. After designing a cross-sectional descriptive study, information of 71 patients was collected. Anesthesiologists filled 22 forms (30 %) and anesthesia residents filled 49 (70 %) of the forms, when using the articulated orotracheal catheter. AOC was included in the algorithm for airway management in both institutions. Afterwards a clinical analysis of its usefulness was performed. Results. The orotracheal articulated catheter was successfully inserted in the trachea on the first attempt by the first physician in 70 of 71 patients (98.6 %). In only one case (1.4 %) was it impossible to introduce the catheter, and in another one the catheter was introduced but the orotracheal tube could not be slid into the trachea on the first attempt. The success rate of the first physician was strongly influenced by the degree of difficulty of the direct laryngoscopy. On the first attempt of the second physician, both patients were successfully intubated. In four patients (5.6 %), airway trauma was detected because of aspiration of bloody secretions from the orotracheal tube. Conclusions. The articulated orotracheal catheter is highly effective to achieve orotracheal intubation, but it can produce minor airway trauma.

Original languageSpanish
Pages (from-to)330-339
Number of pages10
JournalRevista Colombiana de Anestesiologia
Volume39
Issue number3
DOIs
StatePublished - Jan 1 2011

Fingerprint

Operating Rooms
Critical Care
Catheters
Trachea
Physicians
Laryngoscopy
Airway Management
Wounds and Injuries
Intubation
Intensive Care Units
Anesthesia
Cross-Sectional Studies

Keywords

  • Catheters
  • Intratracheal intubation
  • Laryngoscopy
  • Trachea

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Anesthesiology and Pain Medicine

Cite this

@article{f44c02a06847491c895792062701885e,
title = "Validaci{\'o}n de la utilidad cl{\'i}nica del cat{\'e}ter articulado orotraqueal en salas de cirug{\'i}a y cuidado intensive",
abstract = "Objective. To assess the clinical usefulness of the articulated orotracheal catheter (AOC). Clinical scenario. Operating rooms of Cl{\'i}nica San Pedro Claver de Bogot{\'a}, between February and August 2007, operating rooms of Hospital Universitario Mayor de Bogot{\'a}, between September 2007 and July 2008, intensive care unit of Cl{\'i}nica Especializada de los Andes in Tunja, between September 2008 and April 2010. Materials and methods. After designing a cross-sectional descriptive study, information of 71 patients was collected. Anesthesiologists filled 22 forms (30 {\%}) and anesthesia residents filled 49 (70 {\%}) of the forms, when using the articulated orotracheal catheter. AOC was included in the algorithm for airway management in both institutions. Afterwards a clinical analysis of its usefulness was performed. Results. The orotracheal articulated catheter was successfully inserted in the trachea on the first attempt by the first physician in 70 of 71 patients (98.6 {\%}). In only one case (1.4 {\%}) was it impossible to introduce the catheter, and in another one the catheter was introduced but the orotracheal tube could not be slid into the trachea on the first attempt. The success rate of the first physician was strongly influenced by the degree of difficulty of the direct laryngoscopy. On the first attempt of the second physician, both patients were successfully intubated. In four patients (5.6 {\%}), airway trauma was detected because of aspiration of bloody secretions from the orotracheal tube. Conclusions. The articulated orotracheal catheter is highly effective to achieve orotracheal intubation, but it can produce minor airway trauma.",
keywords = "Catheters, Intratracheal intubation, Laryngoscopy, Trachea",
author = "P{\'e}rez, {Efra{\'i}n Riveros}",
year = "2011",
month = "1",
day = "1",
doi = "10.5554/rca.v39i3.185",
language = "Spanish",
volume = "39",
pages = "330--339",
journal = "Revista Colombiana de Anestesiologia",
issn = "0120-3347",
publisher = "Sociedad Colombiana de Anestesiologia y Reanimacion SCARE",
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AU - Pérez, Efraín Riveros

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N2 - Objective. To assess the clinical usefulness of the articulated orotracheal catheter (AOC). Clinical scenario. Operating rooms of Clínica San Pedro Claver de Bogotá, between February and August 2007, operating rooms of Hospital Universitario Mayor de Bogotá, between September 2007 and July 2008, intensive care unit of Clínica Especializada de los Andes in Tunja, between September 2008 and April 2010. Materials and methods. After designing a cross-sectional descriptive study, information of 71 patients was collected. Anesthesiologists filled 22 forms (30 %) and anesthesia residents filled 49 (70 %) of the forms, when using the articulated orotracheal catheter. AOC was included in the algorithm for airway management in both institutions. Afterwards a clinical analysis of its usefulness was performed. Results. The orotracheal articulated catheter was successfully inserted in the trachea on the first attempt by the first physician in 70 of 71 patients (98.6 %). In only one case (1.4 %) was it impossible to introduce the catheter, and in another one the catheter was introduced but the orotracheal tube could not be slid into the trachea on the first attempt. The success rate of the first physician was strongly influenced by the degree of difficulty of the direct laryngoscopy. On the first attempt of the second physician, both patients were successfully intubated. In four patients (5.6 %), airway trauma was detected because of aspiration of bloody secretions from the orotracheal tube. Conclusions. The articulated orotracheal catheter is highly effective to achieve orotracheal intubation, but it can produce minor airway trauma.

AB - Objective. To assess the clinical usefulness of the articulated orotracheal catheter (AOC). Clinical scenario. Operating rooms of Clínica San Pedro Claver de Bogotá, between February and August 2007, operating rooms of Hospital Universitario Mayor de Bogotá, between September 2007 and July 2008, intensive care unit of Clínica Especializada de los Andes in Tunja, between September 2008 and April 2010. Materials and methods. After designing a cross-sectional descriptive study, information of 71 patients was collected. Anesthesiologists filled 22 forms (30 %) and anesthesia residents filled 49 (70 %) of the forms, when using the articulated orotracheal catheter. AOC was included in the algorithm for airway management in both institutions. Afterwards a clinical analysis of its usefulness was performed. Results. The orotracheal articulated catheter was successfully inserted in the trachea on the first attempt by the first physician in 70 of 71 patients (98.6 %). In only one case (1.4 %) was it impossible to introduce the catheter, and in another one the catheter was introduced but the orotracheal tube could not be slid into the trachea on the first attempt. The success rate of the first physician was strongly influenced by the degree of difficulty of the direct laryngoscopy. On the first attempt of the second physician, both patients were successfully intubated. In four patients (5.6 %), airway trauma was detected because of aspiration of bloody secretions from the orotracheal tube. Conclusions. The articulated orotracheal catheter is highly effective to achieve orotracheal intubation, but it can produce minor airway trauma.

KW - Catheters

KW - Intratracheal intubation

KW - Laryngoscopy

KW - Trachea

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