The importance of videolaryngoscopy in maxillofacial practice associated with restricted mouth opening in traumatized patients

Authors

DOI:

https://doi.org/10.33448/rsd-v10i2.12178

Keywords:

Intubation; Trism; Laryngoscopy.

Abstract

Orotracheal intubation is considered the most delicate maneuver performed by anesthesiologists, and failure to manage the airways is one of the main causes of possible complications that can be catastrophic during its performance, thus requiring good team planning. Anatomical and / or physiological characteristics, such as limited mouth opening, a condition often found in patients suffering from fractures of the zygomatic arch or who have some abnormality in the temporomandibular joint (TMJ), can characterize a difficult airway, which demands attention greatest of the professional. Therefore, in order to overcome the obstacles that may occur during a difficult or unexpected intubation, new tools have been used, such as videolaryngoscopy in which an intubation device containing miniature video cameras is used in order to allow the operator has an indirect view of the glottis to increase success rates and decrease intubation time. The aim of the present study is to report a clinical case of a trauma victim, with limited mouth opening, who underwent intubation with the aid of a video laryngoscope after failed attempts at conventional intubation.

References

Apfelbaum, J. L., Hagberg, C. A., Caplan, R. A., Blitt, C. D., Connis, R. T., & Nickinovich, D. G. (2013). Diretrizes Práticas para o Tratamento da Via Aérea Difícil: Um relatório atualizado da Força-Tarefa da Sociedade Americana de Anestesiologistas sobre o Tratamento das Vias Aéreas Difíceis. Anesthesiology Trusted Evidence: Discovery to Practice, 118(2), 251-270.

Aziz, M. F., Dillman, D., Fu, R., & Brambrink, A. M. (2012). Eficácia comparativa do videolaringoscópio C-MAC versus laringoscopia direta no cenário de via aérea difícil prevista. Anesthesiology Trusted Evidence: Discovery to Practice, 116(3), 629–636.

Berkow, L. C., Morey, T. E., & Urdaneta, F. (2018). A tecnologia da videolaringoscopia, Anesthesia & Analgesia, 126(5), 1527-1534.

Chang, C., Ko, E. C., Kao, C., Chang, P., & Yc Chen, M. (2012). Incidência e significado clínico de fratura do complexo zigomático-maxilar envolvendo a articulação temporomandibular com ênfase no trismo. Kaohsiung Journal of Medical Sciences, 28(6), 336-340.

Ciccozzi, A., Angeletti, C., Guetti, C., Papola, R., Angeletti, P. M., Paladini, A., Varrassi, G., & Marinangeli, F. (2013). GlideScope e Frova Introducer for Difficult Airway Management. Case Reports in Anesthesiology, 2013(1), 1-7.

Cunha Andrade, R. G. A., Lima, B. L. S., Oliveira Lopes, D. K., Couceiro Filho, R. O., Cavalcanti Lima, L., & Menezes Couceiro, T.C. (2018). Dificuldade na laringoscopia e na intubação orotraqueal: estudo observacional. Brazilian Journal of Anesthesiology, 68(2), 168-173.

Detsky, M. E., Jivraj, N., Adhikari, N. K., Friedrich, J. O., Pinto, R., Simel, D. L., Wijeysundera, D. N., & Scales, D. C. (2019). Will This Patient Be Difficult to Intubate? The Rational Clinical Examination Systematic Review, 321(5), 493-503.

Erdivanli, E., Sen, A., Batcik, S., Koyuncu, T., & Kazdal, H. (2018). Comparison of King Vision video laryngoscope and Macintosh laryngoscope: a prospective randomized controlled clinical trial. Brazilian Journal of Anesthesiology, 68(5), 499-506.

Jungbauer, A., Schumann, M., Brunkhorst, V., Börgers, A., & Groeben, H. (2009). Intubação traqueal difícil esperada: uma comparação prospectiva de laringoscopia direta e videolaringoscopia em 200 pacientes, BJA: British Journal of Anesthesia, 102(4), 546–550.

Kilicaslan, A., Topal, A., Tavlan, A., Erol, A., & Otelcioglu, S. (2014). Eficácia do videolaringoscópio C-MAC no manejo de intubações malsucedidas inesperadas. Brazilian Journal of Anesthesiology, 64(1), 62-65.

Manganello-Souza, L. C, Silva, A. A. F., & Pacheco, D. F. S. (2003). Fraturas Zigomáticas e Orbitozigomáticas. Rev Bras Cir Plást, 18(2), 24-30.

Nausheen, F., Niknafs, N. P., MacLean, D. J., Olvera, D. J., Wolf Jr, A. C., Pennington, T. W., & Davis, D. P. (2019). Os critérios do HEAVEN predizem a visão laringoscópica e o sucesso da intubação para laringoscopia direta e videolaringoscópica: uma análise de coorte. Scand J Trauma Resusc Emerg Med 27, 50.

Niforopoulou P., Pantazopoulos I., Demestiha T., & Koudouna, E., (2010). Video-laryngoscopes in the adult airway management: a topical review of the literature. Acta Anaesthesiol Scand, 54(9), 1050-61.

Pereira, C. C. S., Souza, A. P. de, Gaetti Jardim, E. C., Melo, R. L., Viegas, A. M., Cardoso, L. de C., & Okamoto, R. (2014). Obstrução Mecânica da Mandíbula por Fratura Isolada do Arco Zigomático: Relato de Caso. ARCHIVES OF HEALTH INVESTIGATION, 3(1), 64-67.

Selvi, O., kahraman, S. T., Tulgar, S., Senturk, O., Serifsoy, T. E., Thomas, D., Cinar, A. S., & Ozer, Z. (2020). Effectiveness of simplified predictive intubation difficulty score and thyromental height in head and neck surgeries: an observational study. Brazilian Journal Of Anesthesiology, 70(6), 595-604.

Trindade, P. A. K., Hochulli Vieira, E., Gabrielli, M. A. C., Gabrielli, M. F. R., & Pereira-Filho, V. A. (2012). Treatment and Complications of Orbito-zygomatic Fractures. Int J Odontostomat 6(3), 255-262.

Turcio, K. H. L., Pereira de Caxias, F., Micheline dos Santos, D., Junqueira Zuim, P. R., & Gennari Filho, H. (2017). Diagnóstico diferencial de limitação de abertura bucal. Revista Odontológica de Araçatuba, 38(2), 15-21.

Downloads

Published

07/02/2021

How to Cite

DELANORA, L. A.; BAGGIO, A. M. P.; ARAUJO, N. J. de .; SILVA, W. P. P. da; FAVERANI, L. P.; BASSI, A. P. F. The importance of videolaryngoscopy in maxillofacial practice associated with restricted mouth opening in traumatized patients. Research, Society and Development, [S. l.], v. 10, n. 2, p. e12010212178, 2021. DOI: 10.33448/rsd-v10i2.12178. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/12178. Acesso em: 24 apr. 2024.

Issue

Section

Health Sciences