TdC 287: 7 armadilhas na intubação orotraqueal

1º Encontro TdC - Simpósio Anual de Atualização em Clínica Médica Um dia inteiro de Clínica Médica, com temas cuidadosamente selecionados para responder à pergunta que mais importa: o que muda minha prática?Se você é residente, médico recém-formado, especialista ou estudante de Medicina e gosta da forma como o TdC discute medicina baseada em evidências, esperamos você em São Paulo no dia 22 de agosto.Garanta sua vaga através do link: https://www.tadeclinicagem.com.br/eventostdc/1-encontro-tdc/João Mendes e Pedro Magno conversam sobre 7 armadilhas comuns na intubação orotraqueal (IOT).Referências:1. Li, Jie et al. “Noninvasive Ventilation for Preoxygenation during Emergency Intubation.” The New England journal of medicine vol. 391,11 (2024): 1068-1069. doi:10.1056/NEJMc24091262. Driver, Brian E et al. “Flush Rate Oxygen for Emergency Airway Preoxygenation.” Annals of emergency medicine vol. 69,1 (2017): 1-6. doi:10.1016/j.annemergmed.2016.06.0183. Ferguson, Ian M C et al. “The effect of ketamine and fentanyl on haemodynamics during intubation in pre-hospital and retrieval medicine.” Acta anaesthesiologica Scandinavica vol. 67,3 (2023): 364-371. doi:10.1111/aas.141774. Takahashi, Jin et al. “Association of fentanyl use in rapid sequence intubation with post-intubation hypotension.” The American journal of emergency medicine vol. 36,11 (2018): 2044-2049. doi:10.1016/j.ajem.2018.03.0265. Levitan, Richard M et al. “Laryngeal view during laryngoscopy: a randomized trial comparing cricoid pressure, backward-upward-rightward pressure, and bimanual laryngoscopy.” Annals of emergency medicine vol. 47,6 (2006): 548-55. doi:10.1016/j.annemergmed.2006.01.0136. Driver, Brian E et al. “Engagement of the Median Glossoepiglottic Fold and Laryngeal View During Emergency Department Intubation.” Annals of emergency medicine vol. 78,6 (2021): 699-707. doi:10.1016/j.annemergmed.2021.04.0247. von Hellmann, Rafael et al. “Effect of Bougie Use on First-Attempt Success in Tracheal Intubations: A Systematic Review and Meta-Analysis.” Annals of emergency medicine vol. 83,2 (2024): 132-144. doi:10.1016/j.annemergmed.2023.08.4848. Shah, Amit P.; Nasa, Prashant1; Ahmed, Syed M.2; Divatia, Jigeeshu V.3; Doctor, Jeson R.4; Garg, Rakesh5; Kundra, Pankaj6; Ramkumar, Venkateswaran7; Shetty, Sumalatha R.8; Ali, Zulfiqar9; Bhardwaj, Neerja10; Bhat, Mala G.11; Das, Sabyasachi12; Ghosh, Sujata13; Goswami, Jyotsna14; Grewal, Anju15; Kumar, Rakesh16; Kumar, M.R Anil17; Malde, Anila D.18; Manjuldevi, M19; Mehandale, Sripada G.20; Parameswari, Aruna21; Patwa, Apeksh22; Pawar, Dilip23; Sahu, Sandeep24; Sharma, Jyoti25; Singaravelu, Ramesh26; Solanki, Sohan L.4; Swaika, Sarbari27; Tiwari, Tanmay28; Ranjan, R V29; Yaddanapudi, Sandhya10; Myatra, Sheila N.4. Expert consensus for difficult airway management in the absence of clear evidence using a Delphi method. Indian Journal of Anaesthesia 69(11):p 1106-1116, November 2025. | DOI: 10.4103/ija.ija_1333_25