Dental injury after conventional direct laryngoscopy: a prospective observational study

• Tipo: Artigo em Revista Científica Internacional
• Data: 2013

Autores

J Mourão (Autor) FMDUP; Neto, J (Autor) Outra; Luis, C (Autor) Outra; Moreno, C (Autor) Outra; Barbosa, J (Autor) FMUP; Carvalho, J (Autor) Outra; Tavares, J (Autor) Outra

Revista

Título: Anaesthesia

Vol. 68 Nº 10

Páginas: 1059-1065

ISSN: 0003-2409

Editora: Wiley-Blackwell

Indexação

ISI Web of Knowledge - 32 Citações

Scopus - 39 Citações

Outras Informações

ID Authenticus: P-00J-QJQ

DOI: 10.1111/anae.12342

Abstract (EN): This observational study assessed the frequency and risk factors of dental damage after classic direct laryngoscopy for tracheal intubation in 536 adult patients. The patients' sex, age, height, weight, dental condition, dental mobility, Mallampati class, interincisor gap, thyromental distance, neck circumference, and head and neck extension were recorded. From anaesthesia records, the difficulty of intubation, the number of attempts, type of neuromuscular blocking agent used and duration of anaesthesia were recorded. After anaesthesia, examination revealed that 134 patients (25.0%) had dental damage affecting 162 teeth (147 maxillary; 15 mandibular). Enamel fracture was the commonest injury. In tooth number 21, the interincisor gap (OR 2.5 (95% CI 1.0-5.9)) and in tooth number 22, the number of intubation attempts (OR 5.3 (95% CI 1.3-22.0)) were considered a risk factor for dental injury. Conventional direct laryngoscopy is associated with a strikingly high incidence of dental damage, although specific risk factors remain unclear.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 7