Abstract

GRUNBERG, Gustavo et al. Análisis de los recursos disponibles para el manejo de la vía aérea en sala de operaciones. Anest Analg Reanim [online]. 2013, vol.26, n.1, pp.9-9. ISSN 1688-1273.

SUMMARY  Objective: to determine the resources available for airway management in the operating rooms of our country, and the levels reached of the difficult airway algorithm of the  American Society of Anesthesiologists (ASA). A transversal cut study was carried out, where it was documented the availability of a difficult intubation tray/bag/cart/ in each operating room of Montevideo, as well as of all necessary intubation, ventilation and supraglottic devices and those required for surgical airway approach. According to the levels of the ASA algorithm reached, surgical centers were classified from 1 to 4. Results: only 9/24 adult centers reached the 4 steps of ASA algorithm (material for intubation + ventilation + airway supraglottic devices or Fiberbronchoscope (FB) + surgical material)  and 1/19 in pediatric centers; 6 adult and 5 pediatric centers completed step 3 (intubation + ventilation + airway supraglottic devices or FB, or surgical material); 8 adult rooms and 11 children rooms reached step 2 (intubation + ventilation material), and one pediatric room reached only the first step. In all cases, a fibroscopist may be called for intubation. The standard tube and laryngeal mask are  available in all adult centers. Conclusions: most surgical centers are prepared to adequately manage an expected difficult airway through fiberoptic intubation, but, in most cases, resources are insufficient for an integral approach of unexpected difficult or impossible airway, according to ASA guidelines.

Keywords : DEVICES; AIRWAY MATERIALS.

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