Validation of a suggested pre-operative protocol for the prevention of traumatic dental injuries during oroendotracheal intubation: a pilot study
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://hdl.handle.net/1822/85489 |
Resumo: | The aim of this study was to develop a protocol for oral pre-operative registration and dental risk assessment by the anaesthesiologist, determining its reliability through the inter-observer agreement between a senior dental student and an internal physician specializing in anaesthesiology. A convenience sample consisting of 35 patients was selected. These were observed during the anaesthesiology consultation, at Hospital de São João, Porto, Portugal. The protocol included a self-administered questionnaire and a brief clinical examination by the two observers. A descriptive analysis (qualitative and quantitative variables) was performed. The Fleiss Kappa index was used to measure the degree of agreement between the two observers. In most of the parameters defined, the agreement presented Kappa index values between 0.6 and 1, corresponding to good and excellent correlation, respectively. The general oral status was considered “poor”, with a great number of missing teeth, namely the upper central and lateral incisors. The proposed pre-anaesthetic protocol can be a reliable tool for the anaesthesiologists, which suggests the relevancy of incorporating interdisciplinary training between future health professionals. Further research is needed to assess its implementation, providing information about the pre-operative oral status, preventing intraoperative damage and potential medicolegal litigation. |
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Validation of a suggested pre-operative protocol for the prevention of traumatic dental injuries during oroendotracheal intubation: a pilot studyDental traumaDental injuryEndotracheal intubationGeneral anaesthesiaPre-anaesthetic protocolCiências Médicas::Ciências da SaúdeScience & TechnologyThe aim of this study was to develop a protocol for oral pre-operative registration and dental risk assessment by the anaesthesiologist, determining its reliability through the inter-observer agreement between a senior dental student and an internal physician specializing in anaesthesiology. A convenience sample consisting of 35 patients was selected. These were observed during the anaesthesiology consultation, at Hospital de São João, Porto, Portugal. The protocol included a self-administered questionnaire and a brief clinical examination by the two observers. A descriptive analysis (qualitative and quantitative variables) was performed. The Fleiss Kappa index was used to measure the degree of agreement between the two observers. In most of the parameters defined, the agreement presented Kappa index values between 0.6 and 1, corresponding to good and excellent correlation, respectively. The general oral status was considered “poor”, with a great number of missing teeth, namely the upper central and lateral incisors. The proposed pre-anaesthetic protocol can be a reliable tool for the anaesthesiologists, which suggests the relevancy of incorporating interdisciplinary training between future health professionals. Further research is needed to assess its implementation, providing information about the pre-operative oral status, preventing intraoperative damage and potential medicolegal litigation.Multidisciplinary Digital Publishing InstituteUniversidade do MinhoSilva, DanielaMiranda, RitaFerreira, InêsBraga, A. C.Mourão, JoanaPina-Vaz, Irene2023-02-062023-02-06T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/1822/85489engSilva, D.; Miranda, R.; Ferreira, I.; Braga, A.; Mourão, J.; Pina-Vaz, I. Validation of a Suggested Pre-Operative Protocol for the Prevention of Traumatic Dental Injuries during Oroendotracheal Intubation: A Pilot Study. Appl. Sci. 2023, 13, 2091. https://doi.org/10.3390/app130420912076-341710.3390/app13042091https://www.mdpi.com/2076-3417/13/4/2091info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:02:49Zoai:repositorium.sdum.uminho.pt:1822/85489Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:52:52.761551Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Validation of a suggested pre-operative protocol for the prevention of traumatic dental injuries during oroendotracheal intubation: a pilot study |
title |
Validation of a suggested pre-operative protocol for the prevention of traumatic dental injuries during oroendotracheal intubation: a pilot study |
spellingShingle |
Validation of a suggested pre-operative protocol for the prevention of traumatic dental injuries during oroendotracheal intubation: a pilot study Silva, Daniela Dental trauma Dental injury Endotracheal intubation General anaesthesia Pre-anaesthetic protocol Ciências Médicas::Ciências da Saúde Science & Technology |
title_short |
Validation of a suggested pre-operative protocol for the prevention of traumatic dental injuries during oroendotracheal intubation: a pilot study |
title_full |
Validation of a suggested pre-operative protocol for the prevention of traumatic dental injuries during oroendotracheal intubation: a pilot study |
title_fullStr |
Validation of a suggested pre-operative protocol for the prevention of traumatic dental injuries during oroendotracheal intubation: a pilot study |
title_full_unstemmed |
Validation of a suggested pre-operative protocol for the prevention of traumatic dental injuries during oroendotracheal intubation: a pilot study |
title_sort |
Validation of a suggested pre-operative protocol for the prevention of traumatic dental injuries during oroendotracheal intubation: a pilot study |
author |
Silva, Daniela |
author_facet |
Silva, Daniela Miranda, Rita Ferreira, Inês Braga, A. C. Mourão, Joana Pina-Vaz, Irene |
author_role |
author |
author2 |
Miranda, Rita Ferreira, Inês Braga, A. C. Mourão, Joana Pina-Vaz, Irene |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade do Minho |
dc.contributor.author.fl_str_mv |
Silva, Daniela Miranda, Rita Ferreira, Inês Braga, A. C. Mourão, Joana Pina-Vaz, Irene |
dc.subject.por.fl_str_mv |
Dental trauma Dental injury Endotracheal intubation General anaesthesia Pre-anaesthetic protocol Ciências Médicas::Ciências da Saúde Science & Technology |
topic |
Dental trauma Dental injury Endotracheal intubation General anaesthesia Pre-anaesthetic protocol Ciências Médicas::Ciências da Saúde Science & Technology |
description |
The aim of this study was to develop a protocol for oral pre-operative registration and dental risk assessment by the anaesthesiologist, determining its reliability through the inter-observer agreement between a senior dental student and an internal physician specializing in anaesthesiology. A convenience sample consisting of 35 patients was selected. These were observed during the anaesthesiology consultation, at Hospital de São João, Porto, Portugal. The protocol included a self-administered questionnaire and a brief clinical examination by the two observers. A descriptive analysis (qualitative and quantitative variables) was performed. The Fleiss Kappa index was used to measure the degree of agreement between the two observers. In most of the parameters defined, the agreement presented Kappa index values between 0.6 and 1, corresponding to good and excellent correlation, respectively. The general oral status was considered “poor”, with a great number of missing teeth, namely the upper central and lateral incisors. The proposed pre-anaesthetic protocol can be a reliable tool for the anaesthesiologists, which suggests the relevancy of incorporating interdisciplinary training between future health professionals. Further research is needed to assess its implementation, providing information about the pre-operative oral status, preventing intraoperative damage and potential medicolegal litigation. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-02-06 2023-02-06T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://hdl.handle.net/1822/85489 |
url |
https://hdl.handle.net/1822/85489 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Silva, D.; Miranda, R.; Ferreira, I.; Braga, A.; Mourão, J.; Pina-Vaz, I. Validation of a Suggested Pre-Operative Protocol for the Prevention of Traumatic Dental Injuries during Oroendotracheal Intubation: A Pilot Study. Appl. Sci. 2023, 13, 2091. https://doi.org/10.3390/app13042091 2076-3417 10.3390/app13042091 https://www.mdpi.com/2076-3417/13/4/2091 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Multidisciplinary Digital Publishing Institute |
publisher.none.fl_str_mv |
Multidisciplinary Digital Publishing Institute |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799132305779851264 |