Orotracheal intubation and temporomandibular disorder: a longitudinal controlled study

Battistella, Cláudia Branco; Machado, Flávia Ribeiro; Juliano, Yára; Guimarães, Antônio Sérgio Alfredo; Tanaka, Cássia Emi; Garbim, Cristina Talá de Souza; Fonseca, Paula de Maria da Rocha; Sanches, Monique Lalue

doi:10.1016/j.bjane.2014.06.008

Cited by 6 publications

(8 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The patient should be in the supine position and using a cushion in the occipital region. 18 Important deauthentication was regarding insufflation of the cuff of the tracheal tube adequately: the same should be with as little air as possible. The recommended pressure is less than the capillary perfusion pressure, ie less than 25mmHg.…”

Section: Discussionmentioning

confidence: 99%

Aula simulada no ensino de ações de enfermagem na intubação

Alves

Morais

Oliveira

et al. 2018

Rev enferm UFPE on line.

View full text Add to dashboard Cite

RESUMOObjetivo: avaliar o uso da aula simulada para o ensino de ações de Enfermagem na intubação traqueal. Método: estudo quantitativo, quase experimental, tipo pré e pós-teste, realizado com 26 profissionais de Enfermagem dos serviços de urgência e emergência utilizando um questionário com 12 questões de múltipla escolha, baseado nas diretrizes do Pre-Hospital Trauma Life Support, aplicado antes e depois da aula simulada. Os dados coletados foram analisados por frequência simples e apresentados em tabelas. Resultados: verificou-se predominância do sexo feminino (73%), idade entre 20-39 anos (77%), categoria de técnicos de Enfermagem (50%), um a cinco anos de formação (46%), atuantes em intubação traqueal (77%) e sem capacitação periódica (81%). Verificou-se que 81% possuíam conhecimento sobre intubação traqueal e, após a estratégia de ensino, por meio de aula simulada, 98% ampliaram seus conhecimentos. Conclusão: a aula simulada é uma estratégia efetiva para o ensino de profissionais de Enfermagem sobre ações na intubação traqueal contribuindo para o avanço do conhecimento científico. Descritores: Enfermagem em Emergência; Capacitação em Serviço; Intubação; Simulação; Ensino; Conhecimento.ABSTRACTObjective: to evaluate the use of the simulated class for the teaching of Nursing actions in tracheal intubation. Method: a quasi-experimental, quasi-experimental, pre-and post-test study with 26 Emergency and Emergency Nursing professionals using a questionnaire with 12 multiple choice questions, based on Pre-Hospital Trauma Life Support guidelines applied before and after the simulated class. The collected data were analyzed by simple frequency and presented in tables. Results: predominantly female (73%), age between 20-39 years (77%), Nursing technicians category (50%), one to five years of training (46%), tracheal intubation (77%) and without periodic training (81%). It was verified that 81% had knowledge about tracheal intubation and, after the teaching strategy, through simulated class, 98% expanded their knowledge. Conclusion: the simulated class is an effective strategy for the teaching of Nursing professionals about actions in tracheal intubation contributing to the advancement of scientific knowledge. Descriptors: Emergency Nursing; Intervice Training; Intubation; Simulation; Teaching; Knowledge.RESUMEN Objetivo: evaluar el uso de la clase simulada para la enseñanza de acciones de Enfermería en la intubación traqueal. Método: estudio cuantitativo, casi experimental, tipo pre y post-test, realizado con 26 profesionales de Enfermería de los servicios de urgencia y emergencia, utilizando un cuestionario con 12 preguntas de múltiple elección, basado en las directrices del Pre-Hospital Trauma Life Support, aplicado antes y después de la clase simulada. Los datos recolectados fueron analizados por frecuencia simple y presentados en tablas. Resultados: se verificó predominancia del sexo femenino (73%), edad entre 20-39 años (77%), categoría de técnicos de Enfermería (50%), uno a cinco años de formación (46%), actuantes en intubación traqueal (77%) y sin capacitación periódica (81%). Se verificó que el 81% poseía conocimiento sobre intubación traqueal, y después de la estrategia de enseñanza, a través de clase simulada, el 98% amplió sus conocimientos. Conclusión: la clase simulada es una estrategia efectiva para la enseñanza de profesionales de Enfermería sobre acciones en la intubación traqueal, contribuyendo al avance del conocimiento científico. Descriptores: Enfermería de Urgencia; Capacitación em Servicio; Intubación; Simulación; Enseñanza; Conocimiento.

show abstract

Section: Discussionmentioning

confidence: 99%

Aula simulada no ensino de ações de enfermagem na intubação

Alves

Morais

Oliveira

et al. 2018

Rev enferm UFPE on line.

View full text Add to dashboard Cite

show abstract

“…In 2020, the International Headache Society and its collaborators launched the International Classification of Orofacial Pain, 1st Edition, describing 9 myogenic and 13 temporomandibular joint (TMJ) arthrogenic types. TMJ injury is an important risk factor of CMDs [1] , [2] , [3] .…”

Section: Introductionmentioning

confidence: 99%

“…prolonged intubation (PI), further intensifies the damage. Loss of muscle tone due to anesthetics can increase joint mobilization [2] , [3] , [4] , [5] . In a prospective study (n = 40), laryngoscopic tracheal visualization caused massive (pathologic) TMJ distraction from its physiological position/movement, and one patient (or 2.5%) was reported to have tear of the lateral ligament of the TMJ [5] .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

What factors predict craniomandibular disorders in severe COVID-19 survivors after prolonged intubation?

Pitak‐Arnnop¹,

Tangmanee²,

Mutirangura³

et al. 2022

Journal of Stomatology, Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

“…Even though some studies show that general anesthesia with intubation can influence the onset and worsening of TMD [ 6 ], the literature is still very limited on this topic. Moreover, in a recent longitudinal study, no difference was found in the incidence of signs and symptoms of TMD in patients who underwent orotracheal intubation compared with the patients who underwent surgery without intubation [ 15 ]. Patients were assessed before surgery, and after 1 day and 3 months of the surgery.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Temporomandibular Joint by Anesthetists in Florida When Conducting Orotracheal Intubation—A Pilot Study

Gadotti

Geronimo

Rodríguez

et al. 2020

JCM

View full text Add to dashboard Cite

Background: Orotracheal intubation has been considered a risk factor for the development or exacerbation of disorders related to the temporomandibular joint (TMJ). The objective of this pilot study was to evaluate TMJ assessment performed by anesthetists in Florida when conducting orotracheal intubation. Methods: An online questionnaire was created using Qualtrics. The survey included 22 questions related to demographics, TMJ related to anesthesia procedures, and education/awareness regarding TMJ related to intubation. Descriptive statistics and cross-tabulation analysis were performed. Results: One hundred and eight providers participated (mean 46 years-old ± 12; 59% female). About 50% reported to always evaluate TMJ prior non-emergency intubation. Of those, 56% used an alternative intubation technique based on the TMJ status and 60% never/rarely evaluated TMJ post-intubation. Twenty-five percent reported they did not know of possible intubation effects on TMJ and 47% reported that they did not receive adequate information/education on TMJ management related to intubation in school. After participation, 81% reported to be more aware of the importance of evaluating TMJ. Conclusions: Only half of the providers who frequently performed intubation in Florida evaluated TMJ prior to intubation. This survey increased the awareness regarding the importance of evaluating TMJ when conducting intubation. This may contribute to reducing TMJ issues associated with non-emergency intubations.

show abstract

Orotracheal intubation and temporomandibular disorder: a longitudinal controlled study

Abstract: In our population, the incidence of signs and symptoms of temporomandibular disorder of muscular origin was not different between the groups.

Cited by 6 publications

References 19 publications

Aula simulada no ensino de ações de enfermagem na intubação

Aula simulada no ensino de ações de enfermagem na intubação

What factors predict craniomandibular disorders in severe COVID-19 survivors after prolonged intubation?

Evaluation of Temporomandibular Joint by Anesthetists in Florida When Conducting Orotracheal Intubation—A Pilot Study

Contact Info

Product

Resources

About