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Published on: July 14, 2023
Knowledge, behavior, and awareness of neonatologists and anesthesiologists about oral complications of intubation and
Umut Pamukcu1, Aycan Dal2, Nilgun Altuntas3
1Department of Dentomaxillofacial Radiology, Gazi University Faculty of Dentistry, Ankara, Turkey.
Insights
Neonatologists show higher awareness of oral complications from orotracheal intubation (OTI) than anesthesiologists, yet prevention knowledge is insufficient. Palatal stabilization devices are underutilized despite perceived efficacy.
Area of Science:
- Medical Practice
- Pediatric Anesthesiology
- Neonatal Care
Background:
- Orotracheal intubation (OTI) in premature infants can lead to oral complications.
- Awareness and prevention strategies among healthcare professionals are crucial.
Purpose of the Study:
- To assess anesthesiologists' and neonatologists' awareness of OTI-related oral complications in premature infants.
- To evaluate their knowledge and practices regarding prevention methods.
Main Methods:
- A questionnaire was administered to 94 neonatologists and 137 anesthesiologists.
- The survey covered personal information, awareness of complications, and prevention knowledge/behavior.
Main Results:
- High awareness of OTI complications (95.7% neonatologists, 83.2% anesthesiologists).
- Common complications include oral/laryngeal/pharyngeal injuries and palatal grooves.
- Adhesive tape is the primary stabilization method; palatal stabilization device (PSD) awareness is low (23.8%) and usage is minimal (1.3%).
Conclusions:
- Neonatologists demonstrated greater awareness of OTI complications compared to anesthesiologists.
- Knowledge regarding complication prevention is insufficient among participants.
- Despite belief in PSD efficacy, clinical use remains low due to various factors.
Objectives:
This study aimed to assess awareness of anesthesiologists and neonatologists about oral complications occurring during and after the orotracheal intubation (OTI) in premature infants and their knowledge and behavior regarding protection methods from these complications in clinical practice.
Methods:
This study included 94 neonatologists and 137 anesthesiologist. The final version of the questionnaire included 15 items in three main parts: (i) personal information; (ii) awareness about oral complications occurring during and after the OTI in premature infants; (iii) knowledge and behavior regarding protection methods from these complications in clinical practice.
Results:
A total of 95.7% of neonatologists and 83.2% of anesthesiologists were aware of oral complications related to OTI. The most common complications the anesthesiologists encountered were oral, laryngeal, or pharyngeal region injuries (60.7%) and palatal groove (52.2%) for the neonatologists. The most preferred method for stabilization of the orotracheal intubation tube (OTT) was bonding to the perioral region with an adhesive tape (98.3%). The primary determining factor in the choice of OTT stabilization method was the ease of use (28.2%). A total of 23.8% of the participants were aware of the palatal stabilization device (PSD), whereas only 1.3% used it in their routine and 57.1% of them believed it can prevent complications.
Conclusions:
The results showed that neonatologists were more aware of the OTI-related oral complications than anesthesiologists. The knowledge of the participants regarding prevention of these complications is insufficient. Study participants believe in the efficacy of PSD but do not use it in clinical practice for a number of reasons.
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