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Anesthetist's Perception Towards Submental Intubation: A Questionnaire Study.
Gayatri Moharana1, Rajat Mohanty1, Banibrata Lahiri1
1Department of Oral and Maxillofacial Surgery, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha 751024 India.
Submental intubation offers a safe airway management alternative for craniofacial trauma patients. Most anesthesiologists are familiar with the technique, with no reported complications, though it requires specific skills.
Area of Science:
- Anesthesiology
- Surgical Airway Management
- Craniofacial Trauma
Background:
- Submental intubation provides surgical access to the oral and nasal regions.
- It allows for unimpeded airflow to the lungs during procedures.
- This technique serves as an alternative to tracheostomy in specific cases.
Purpose of the Study:
- To assess anesthesiologists' perceptions and familiarity with submental intubation.
- To evaluate the safety and complication rates associated with the procedure.
Main Methods:
- A questionnaire-based prospective randomized analysis was conducted in Odisha, India.
- 97 anesthesiologists received a 16-question self-structured questionnaire.
- Data was collected between January 20, 2023, and May 20, 2023.
Main Results:
- 43% of males and 46% of females were familiar with submental intubation.
- 56% of females and 43% of males had performed or assisted with the procedure.
- No complications or adverse events were reported (p=0.0001).
Conclusions:
- Submental intubation is a safe and effective airway management technique for selected craniofacial trauma patients.
- Familiarity with this technique can help avoid tracheostomy in certain cases.
- The procedure is technique-sensitive and requires specific expertise.
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