Orotracheal intubation in non-expert healthcare personnel using video laryngoscopy.

Abstract

Introduction: Video laryngoscopy has proven to be a useful tool that facilitates the approach to an airway, reducing the incidence of unforeseen difficult airways. Objective: Determine the frequency of success in IOT of health personnel not expert in airway management using the videolaryngoscope. Methodology: Observational, descriptive and cross-sectional study in 30 doctors from different specialties, except anesthesiology. Participating residents had up to 3 opportunities to perform IOT with video laryngoscopy, under the supervision of an expert physician. Results: The frequency of successful intubation was 86.7%. There were 4 failures (13.3%) The majority of participants (80%) made an intubation attempt for a successful IOT. In 83.4%, no maneuver was used to optimize visualization. Cormack-Lehane visualization grade 1 was observed in 63.3%. In 4 cases (13.3%) there was a decrease in the patient's oxygen saturation, which was recovered by the anesthesiologist. Conclusion: A high frequency of success was evident. Video laryngoscopy proved to be a safe and effective device for tracheal intubation performed by non-expert healthcare personnel.