Incidencia de eventos adversos de intubación traqueal con fibrobroncoscopio en pacientes de 20-65 años sometidos anestesia general. hospitales José Carrasco Arteaga y Vicente Corral Moscoso, área de quirófano. Cuenca, 2019

Abstract

Background: tracheal intubation with fiber optic bronchoscope is a technique used in patients with difficult airways; it also allows the appropriate management of cases with normal or pathological airways. However, it is not exempt from presenting conflicts and limitations, which is why, in certain cases, failed actions occur (2). Objective: to determine the incidence and characteristics of adverse events with the use of fibrotic bronchoscope in patients between 20 and 65 years of age who underwent tracheal intubation, José Carrasco Arteaga and Vicente Corral Moscoso Hospitals, January to December 2019. Methodology: cross-sectional observational study carried out in the Department of Surgery and Anesthesiology (operating rooms) of the José Carrasco Arteaga Hospital (IESS) and the Vicente Corral Moscoso Hospital, in the city of Cuenca. The study carried out on a sample of 229 patients from the selected health units with an age between 20 and 65 years who underwent tracheal intubation with fibrotic bronchoscope under general anesthesia. A questionnaire applied based on the Mallampati scale. Results: 68% presented hypoxemia, epistaxis, laceration of the respiratory mucosa and bradycardia. Age is not a risk factor for presenting adverse effects, however, the variables duration of intubation and number of attempts are risk variables. Conclusions: the adverse effects with the use of fiber optic bronchoscope in patients aged 20 to 65 years undergoing tracheal intubation are hypoxemia, epistaxis, laceration of the respiratory mucosa and bradycardia; intubation and number of attempts are risk factors.