Complicaciones con el uso del videolaringoscopio Hospital José Carrasco Arteaga y Hospital Vicente Corral Moscoso. Cuenca 2019

Abstract

Background: inadequate airway management is the cause of 50% of anesthesia-related surgical complications. Despite medical progress in anticipating difficult airway, the efficacy of preoperative examinations is still limited. Objective: to determine the prevalence of complications with the use of the video laryngoscope in patients undergoing general anesthesia at the “Hospital José Carrasco Arteaga” and “Hospital Vicente Corral Moscoso” Cuenca-Ecuador, year 2019. Methodology: a cross-sectional analytical observational study was carried out; in patients who attended the “José Carrasco Arteaga” and “Vicente Corral Moscoso” Hospitals in the city of Cuenca, to undergo surgery, in which general anesthesia was planned, during 2019. The sample was 246 patients, in which the presence of complications was determined with the use of the video laryngoscope. Using the SPSS 22.0 free version, the data shown in the tables were analyzed. Results: the average age was 42.7; the majority were women (57.7%). The prevalence of immediate complications with the video laryngoscope was 13.8%. A statistical relationship was found between complications with overweight and obesity (p = 0.001); oxygen saturation (p = 0.000); number of attempt (p = 0.000); airway status (p = 0.000). Conclusions: the prevalence of immediate complications was 13.8%, a greater association of complications was found with obese patients with a BMI greater than 30, low oxygen saturation, the greatest number of attempts and a difficult airway according to the Wilson scale.