Evaluation of Temporomandibular Joint by Anesthetists in Florida When Conducting Orotracheal Intubation-A Pilot Study.
anesthesia
orotracheal intubation
temporomandibular joint
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
09 Oct 2020
09 Oct 2020
Historique:
received:
08
09
2020
revised:
05
10
2020
accepted:
07
10
2020
entrez:
14
10
2020
pubmed:
15
10
2020
medline:
15
10
2020
Statut:
epublish
Résumé
Orotracheal intubation has been considered a risk factor for the development or exacerbation of disorders related to the temporomandibular joint (TMJ). The objective of this pilot study was to evaluate TMJ assessment performed by anesthetists in Florida when conducting orotracheal intubation. An online questionnaire was created using Qualtrics. The survey included 22 questions related to demographics, TMJ related to anesthesia procedures, and education/awareness regarding TMJ related to intubation. Descriptive statistics and cross-tabulation analysis were performed. One hundred and eight providers participated (mean 46 years-old ± 12; 59% female). About 50% reported to always evaluate TMJ prior non-emergency intubation. Of those, 56% used an alternative intubation technique based on the TMJ status and 60% never/rarely evaluated TMJ post-intubation. Twenty-five percent reported they did not know of possible intubation effects on TMJ and 47% reported that they did not receive adequate information/education on TMJ management related to intubation in school. After participation, 81% reported to be more aware of the importance of evaluating TMJ. Only half of the providers who frequently performed intubation in Florida evaluated TMJ prior to intubation. This survey increased the awareness regarding the importance of evaluating TMJ when conducting intubation. This may contribute to reducing TMJ issues associated with non-emergency intubations.
Sections du résumé
BACKGROUND
BACKGROUND
Orotracheal intubation has been considered a risk factor for the development or exacerbation of disorders related to the temporomandibular joint (TMJ). The objective of this pilot study was to evaluate TMJ assessment performed by anesthetists in Florida when conducting orotracheal intubation.
METHODS
METHODS
An online questionnaire was created using Qualtrics. The survey included 22 questions related to demographics, TMJ related to anesthesia procedures, and education/awareness regarding TMJ related to intubation. Descriptive statistics and cross-tabulation analysis were performed.
RESULTS
RESULTS
One hundred and eight providers participated (mean 46 years-old ± 12; 59% female). About 50% reported to always evaluate TMJ prior non-emergency intubation. Of those, 56% used an alternative intubation technique based on the TMJ status and 60% never/rarely evaluated TMJ post-intubation. Twenty-five percent reported they did not know of possible intubation effects on TMJ and 47% reported that they did not receive adequate information/education on TMJ management related to intubation in school. After participation, 81% reported to be more aware of the importance of evaluating TMJ.
CONCLUSIONS
CONCLUSIONS
Only half of the providers who frequently performed intubation in Florida evaluated TMJ prior to intubation. This survey increased the awareness regarding the importance of evaluating TMJ when conducting intubation. This may contribute to reducing TMJ issues associated with non-emergency intubations.
Identifiants
pubmed: 33050183
pii: jcm9103229
doi: 10.3390/jcm9103229
pmc: PMC7601216
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
J Pain Res. 2018 Mar 16;11:571-587
pubmed: 29588615
J Oral Biol Craniofac Res. 2019 Jul-Sep;9(3):256-258
pubmed: 31245271
J Stomatol Oral Maxillofac Surg. 2017 Feb;118(1):40-44
pubmed: 28330573
J Craniofac Surg. 2020 Mar/Apr;31(2):e193-e194
pubmed: 31895859
J Anesth. 2011 Jun;25(3):457-61
pubmed: 21451975
Clin Cosmet Investig Dent. 2009 Dec 08;1:71-3
pubmed: 23674907
Anesthesiology. 2003 May;98(5):1269-77
pubmed: 12717151
J Dent Res. 2012 Apr;91(4):364-9
pubmed: 22318373
Eur J Dent. 2019 May;13(2):291-293
pubmed: 31539919
Rev Bras Anestesiol. 2016 Mar-Apr;66(2):126-32
pubmed: 25773451
J Oral Biol Craniofac Res. 2018 Jan-Apr;8(1):30-34
pubmed: 29556460
Br J Anaesth. 2003 May;90(5):707-8
pubmed: 12697609
Anesth Essays Res. 2018 Jan-Mar;12(1):282-284
pubmed: 29628599
Cranio. 2020 Sep;38(5):312-319
pubmed: 30265209
Anesth Prog. 2007 Fall;54(3):109-14
pubmed: 17900209
JA Clin Rep. 2020 Jun 8;6(1):44
pubmed: 32514697
J Med Case Rep. 2013 Oct 18;7:243
pubmed: 24139071
Anesthesiology. 1999 Dec;91(6):1703-11
pubmed: 10598613