Acesso rápido à via aérea

Amantéa, Sérgio L.; Piva, Jefferson Pedro; Zanella, Malba Inajá; Bruno, Francisco; García, Pedro Celiny Ramos

doi:10.1590/s0021-75572003000800002

Cited by 11 publications

(11 citation statements)

References 18 publications

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“…Iniciou-se após a implantação das Diretrizes 2000 de suporte avançado de vida da Aliança Internacional dos Comitês de Ressuscitação, que ocorreu em 2002 11 . Trabalhos publicados até o momento demonstram baixa adesão na utilização da SRI no nosso meio [16][17][18] .…”

Section: Introductionunclassified

Evaluation of rapid sequence intubation in the pediatric emergency department

Sukys¹,

Schvartsman²,

Reis³

2011

J Pediatr (Rio J)

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Objectives: To describe the experience of the emergency department of a pediatric hospital with rapid sequence intubation (RSI) and to identify the factors associated with successful intubation.Methods: This prospective, observational, cross-sectional study conducted from July 2005 to December 2007 consisted of collection of data regarding tracheal intubations performed at the emergency department of Instituto da Criança of Hospital das Clínicas, School of Medicine, Universidade de São Paulo. Successful tracheal intubations were the ones performed at the first attempt. Results:One-hundred and seventeen tracheal intubations were performed; 80% of them were RSIs; 79% of patients had underlying diseases; acute respiratory failure was the cause of tracheal intubation in 40%; success rate was 39%; second-year pediatric resident physicians were responsible for 74% of tracheal intubations; positive pressure ventilation was performed in 74% of procedures, with less frequent use among patients who were successfully intubated (p = 0.002). Midazolam was the sedative used in 80% of procedures, and rocuronium was the neuromuscular blocker in 100%; complications of RSI were described in 80% of intubations, with decreased oxygen saturation being reported in 47% and lower decrease in those patients successfully intubated (p < 0.001); difficulties related to tracheal intubation were less frequent in the successful procedures (p < 0.001). Conclusion:RSI is the method of choice for tracheal intubations performed in the emergency department (80%). In spite of the low success rate (39%) in the present study, RSI has proven to be a safe method, with a low incidence of severe complications. The success of tracheal intubation using RSI seems to be directly related to the preparation of the procedure and the health professional's experience. Thus, we conclude that further training of resident physicians and health professionals working in the emergency department is required. J Pediatr (Rio J). 2011;87(4):343-349:Intratracheal intubation, intubation methods, adverse effects of intubation, neuromuscular blockers, emergency treatment, child, laryngoscopy, trachea. ResumoObjetivos: Descrever a experiência do pronto-socorro de um hospital pediátrico com a sequência rápida de intubação e detectar os fatores associados ao sucesso. Resultados: Foram realizadas 117 intubações traqueais, 80% sob sequência rápida de intubação; 79% eram portadores de doenças de base; a insuficiência respiratória aguda foi a causa da intubação traqueal em 40%; a taxa de sucesso foi de 39%; o residente de pediatria do segundo ano foi o responsável por 74% das intubações traqueais; foi realizada ventilação com pressão positiva em 74% dos procedimentos, sendo menor a sua utilização entre os pacientes que foram intubados com sucesso (p = 0,002). Midazolam foi o sedativo utilizado em 80% dos procedimentos, e rocurônio foi o bloqueador neuromuscular em 100%; complicações decorrentes da sequência rápida de intubação foram descritas em 80%, sendo a queda da saturaç...

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Section: Introductionunclassified

Evaluation of rapid sequence intubation in the pediatric emergency department

Sukys¹,

Schvartsman²,

Reis³

2011

J Pediatr (Rio J)

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show abstract

“…[1][2][3] While a single procedural protocol does not exist, there is consensus that the ideal conditions for intubation to be considered safe include total suppression of the reflexes (cough, vomit and laryngeal reflexes) and of movement (voluntary or involuntary) together with the use of techniques to prevent passive regurgitation. 2 Intubation without medication is acceptable only for cases of cardiorespiratory arrest or for patients in deep coma.…”

Section: Introductionmentioning

confidence: 99%

“…2 Intubation without medication is acceptable only for cases of cardiorespiratory arrest or for patients in deep coma. 3,4 While it is possible to perform the procedure using only sedatives, without muscle relaxants, the doses of these medications that are required to achieve the ideal conditions for intubation (muscle relaxation) are generally very large, making the time required for the procedure longer. This leads to a greater incidence of complications and provokes increased risk of adverse effects from the high doses employed.…”

Section: Introductionmentioning

confidence: 99%

Avaliação do procedimento de intubação traqueal em unidades de referência de terapia intensiva pediátricas e neonatais

Bonow¹,

Piva²,

García³

et al. 2004

J. Pediatr. (Rio J.)

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“…El manejo de las vías aéreas es una prioridad en situaciones en las que existe compromiso cardiocirculatorio, pues puede tener gran influencia en la eficacia de la recuperación y si es dificultada puede llevar a secuela permanente o muerte 11 .…”

Section: Nº 31 Julio 2013unclassified

Carros de emergencia: disponibilidad de los artículos esenciales en un hospital de urgencia norteriograndense

Silva

Dantas

et al. 2013

eglobal

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Acesso rápido à via aérea

Cited by 11 publications

References 18 publications

Evaluation of rapid sequence intubation in the pediatric emergency department

Evaluation of rapid sequence intubation in the pediatric emergency department

Avaliação do procedimento de intubação traqueal em unidades de referência de terapia intensiva pediátricas e neonatais

Carros de emergencia: disponibilidad de los artículos esenciales en un hospital de urgencia norteriograndense

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