Desenvolvimento de um bundle de via aérea no departamento de emergência
DOI:
https://doi.org/10.54143/jbmede.v2i4.81Palavras-chave:
Segurança do paciente, Emergências, Pacotes de assistência ao paciente, Lista de checagem, Tomada de decisões, Manuseio das vias aéreasResumo
A proficiência no manejo da via aérea é uma competência fundamental para todo emergencista. No entanto, o cenário e as condições dos pacientes não são ideais na maioria das vezes, o que eleva o risco do procedimento. Dessa forma, o desenvolvimento de um pacote de via aérea, incluindo um carro específico com gavetas separadas, planos de abordagem à via aérea organizados por cores e etapas, checklist e ajudas cognitivas, visa diminuir a morbimortalidade do procedimento em um cenário em que os fatores anatômicos, fisiológicos e psicológicos tendem a causar mais dificuldades do que em qualquer outro local do hospital.
Referências
Cook TM, Woodall N, Frerk C; Fourth National Audit Project. Major
complications of airway management in the UK: results of the
Fourth National Audit Project of the Royal College of Anaesthetists
and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth.
;106(5):617-31.
Cook TM, Woodall N, Harper J, Benger J; Fourth National Audit
Project. Major complications of airway management in the UK:
results of the Fourth National Audit Project of the Royal College of
Anaesthetists and the Difficult Airway Society. Part 2: intensive care
and emergency departments. Br J Anaesth. 2011;106(5):632-42.
Cook TM, Scott S, Mihai R, Litigation related to airway and
respiratory of anaesthesia: an analysis of claims against the NHS
in England 1995-2007. Anaesthesia. 2010;65(6):556-63.
Peterson GN, Domino KB, Caplan RA, Posner KL, Lee LA,
Cheney FW. Management of the difficult airway. Anesthesiology.
;103(1):33-9.
Chrimes N. The Vortex: a universal “high-acuity implementation
tool” for emergency airway management. BJA. 2016;117(1):i20-7.
Frerk C, Mitchell VS, McNarry AF, Mendonca C, Bhagrath R, Patel
A, et al.; Difficult Airway Society intubation guidelines working
group. Difficult Airway Society 2015 guidelines for management
of unanticipated difficult intubation in adults. Br J Anaesth.
;115(6):827-48.
Higgs A, McGrath BA, Goddard C, Rangasami J, Suntharalingam
G, Gale R, et al.; Difficult Airway Society; Intensive Care Society;
Faculty of Intensive Care Medicine; Royal College of Anaesthetists.
Guidelines for the management of tracheal intubation in critically
ill adults. Br J Anaesth. 2018;120(2):323-52.
ANZCA, Professional Document PS 56: Guidelines on Equipment
to Manage a Difficult Airway during Anaesthesia, ANZCA, West
End, Australia, 2012, http://www.anzca.edu.au/documents/ps56-
-guidelines-on-equipment-to-manage-a-diff.pdf
Fuchs, A, Haller M, Riva T, Nabecker S, Greif R, Berger-Estilita J.
Translation and application of guidelines into clinical practice: A
colour-coded difficult airway trolley. Trends in Anaesthesia and
Critical Care. 2021;40:46-54.
Bjurström MF, Bodelsson M, Sturesson LW. The difficult airway
trolley: a narrative review and practical guide. Anesthesiol Res
Pract. 2019;2019:6780254.
Sherren P, Tricklebank S, Glover G. Development of a standard
operating procedure and checklist for rapid sequence induction in
the critically ill. Scandinavian Journal of Trauma, Resuscitation and
Emergency Medicine. 2014;22:41.
Byrne T. Alfred ICU Intubation Checklist. 2017 [cited 2022 Dez 21].
Available from: https://intensiveblog.com/alfred-icu-intubationchecklist/
Forristal C, Hayman K, Smith N, Mal S, Columbus M, Farooki
N, et al. Does utilization of an intubation safety checklist reduce
omissions during simulated resuscitation scenarios: a multi-center
randomized controlled trial. CJEM. 2021;23(1):45-53.
Chrimes N, Fritz P. Vortex Approach. [cited 2022 Dez 21]. Available
from: http://vortexapproach.org
Mort TC. The incidence and risk factors for cardiac arrest during
emergency tracheal intubation: a justification for incorporating
the ASA Guidelines in the remote location. J Clin Anesth.
;16(7):508-16.
Langvad S, Hyldmo PK, Nakstad AR, Vist GE, Sandberg M.
Emergency cricothyrotomy - a systematic review. Scandinavian
Journal of Trauma, Resuscitation and Emergency Medicine.
;21(1).
Reason J. Education and debate Human error: models and
management. BMJ. 2000;320:768-70.
Flin R, Fioratou E, Frerk C, Trotter C, Cook TM. Human factors in the
development of complications of airway management: preliminary
evaluation of an interview tool. Anaesthesia. 2013;68(8):817-25.
Cook TM. Strategies for the prevention of airway complications - a
narrative review. Anaesthesia. 2018;73(1):93-111.
Schnittker R, Marshall S, Horberry T, Young KL. Human factors
enablers and barriers for successful airway management - an indepth
interview study. Anaesthesia. 2018;73(8):980-9.
Chrimes N, Bradley WP, Gatward JJ, Weatherall AD. Human
factors and the ‘next generation’ airway trolley. Anaesthesia.
;74(4):427-33.
Does colour-coded labelling reduce the risk of medication errors?
Can J Hosp Pharm. 2009;62(2):154-6.
Heffner AC, Swords DS, Neale MN, Jones AE. Incidence and factors
associated with cardiac arrest complicating emergency airway
management. Resuscitation. 2013;84(11):1500-4.
O’Sullivan E, O’Sullivan M, Lavelle A. Five-year audit of
adherence to an anaesthesia pre-induction checklist. Anaesthesia.
;77(9):1065.
Dubash R, Govindasamy LS, Bertenshaw C, Ho JH. Debriefing in
the emergency department. Emerg Med Australas. 2021;33(5):922-
Douros G. Learning means changing: What’s changed? Emerg Med
Australas. 2021;33(5):928-29.
de Carvalho CC, Silva DM, Lemos VM, Dos Santos TGB, Agra
IC, Pinto GM, et al. Videolaryngoscopy vs. direct Macintosh
laryngoscopy in tracheal intubation in adults: a ranking systematic
review and network meta-analysis. Anaesthesia. 2022;77(3):326-38.
Hansel J, Rogers AM, Lewis SR, Cook TM, Smith AF.
Videolaryngoscopy versus direct laryngoscopy for adults
undergoing tracheal intubation. Cochrane Database Syst Rev.
;4(4):CD011136.
Driver BE, Prekker ME, Klein LR, Reardon RF, Miner JR, Fagerstrom
ET, et al. Effect of use of a bougie vs endotracheal tube and stylet
on first-attempt intubation success among patients with difficult
airways undergoing emergency intubation: a randomized clinical
trial. JAMA. 2018;319(21):2179-89.
Janz DR, Semler MW, Joffe AM, Casey JD, Lentz RJ, deBoisblanc
BP, et al.; Check-UP Investigators*; Pragmatic Critical Care
Research Group. A Multicenter Randomized Trial of a Checklist
for Endotracheal Intubation
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