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Evaluation of Temporomandibular Joint by Anesthetists in Florida When Conducting Orotracheal Intubation—A Pilot Study

Background: Orotracheal intubation has been considered a risk factor for the development or exacerbation of disorders related to the temporomandibular joint (TMJ). The objective of this pilot study was to evaluate TMJ assessment performed by anesthetists in Florida when conducting orotracheal intuba...

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Autores principales: Gadotti, Inae C., Geronimo, Melanie, Rodriguez, Gabriela, Caceres, Stephanie, Campbell, Yasmine, Valdes, Jorge, Glymph, Derrick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7601216/
https://www.ncbi.nlm.nih.gov/pubmed/33050183
http://dx.doi.org/10.3390/jcm9103229
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author Gadotti, Inae C.
Geronimo, Melanie
Rodriguez, Gabriela
Caceres, Stephanie
Campbell, Yasmine
Valdes, Jorge
Glymph, Derrick
author_facet Gadotti, Inae C.
Geronimo, Melanie
Rodriguez, Gabriela
Caceres, Stephanie
Campbell, Yasmine
Valdes, Jorge
Glymph, Derrick
author_sort Gadotti, Inae C.
collection PubMed
description Background: Orotracheal intubation has been considered a risk factor for the development or exacerbation of disorders related to the temporomandibular joint (TMJ). The objective of this pilot study was to evaluate TMJ assessment performed by anesthetists in Florida when conducting orotracheal intubation. Methods: An online questionnaire was created using Qualtrics. The survey included 22 questions related to demographics, TMJ related to anesthesia procedures, and education/awareness regarding TMJ related to intubation. Descriptive statistics and cross-tabulation analysis were performed. Results: One hundred and eight providers participated (mean 46 years-old ± 12; 59% female). About 50% reported to always evaluate TMJ prior non-emergency intubation. Of those, 56% used an alternative intubation technique based on the TMJ status and 60% never/rarely evaluated TMJ post-intubation. Twenty-five percent reported they did not know of possible intubation effects on TMJ and 47% reported that they did not receive adequate information/education on TMJ management related to intubation in school. After participation, 81% reported to be more aware of the importance of evaluating TMJ. Conclusions: Only half of the providers who frequently performed intubation in Florida evaluated TMJ prior to intubation. This survey increased the awareness regarding the importance of evaluating TMJ when conducting intubation. This may contribute to reducing TMJ issues associated with non-emergency intubations.
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spelling pubmed-76012162020-11-01 Evaluation of Temporomandibular Joint by Anesthetists in Florida When Conducting Orotracheal Intubation—A Pilot Study Gadotti, Inae C. Geronimo, Melanie Rodriguez, Gabriela Caceres, Stephanie Campbell, Yasmine Valdes, Jorge Glymph, Derrick J Clin Med Article Background: Orotracheal intubation has been considered a risk factor for the development or exacerbation of disorders related to the temporomandibular joint (TMJ). The objective of this pilot study was to evaluate TMJ assessment performed by anesthetists in Florida when conducting orotracheal intubation. Methods: An online questionnaire was created using Qualtrics. The survey included 22 questions related to demographics, TMJ related to anesthesia procedures, and education/awareness regarding TMJ related to intubation. Descriptive statistics and cross-tabulation analysis were performed. Results: One hundred and eight providers participated (mean 46 years-old ± 12; 59% female). About 50% reported to always evaluate TMJ prior non-emergency intubation. Of those, 56% used an alternative intubation technique based on the TMJ status and 60% never/rarely evaluated TMJ post-intubation. Twenty-five percent reported they did not know of possible intubation effects on TMJ and 47% reported that they did not receive adequate information/education on TMJ management related to intubation in school. After participation, 81% reported to be more aware of the importance of evaluating TMJ. Conclusions: Only half of the providers who frequently performed intubation in Florida evaluated TMJ prior to intubation. This survey increased the awareness regarding the importance of evaluating TMJ when conducting intubation. This may contribute to reducing TMJ issues associated with non-emergency intubations. MDPI 2020-10-09 /pmc/articles/PMC7601216/ /pubmed/33050183 http://dx.doi.org/10.3390/jcm9103229 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gadotti, Inae C.
Geronimo, Melanie
Rodriguez, Gabriela
Caceres, Stephanie
Campbell, Yasmine
Valdes, Jorge
Glymph, Derrick
Evaluation of Temporomandibular Joint by Anesthetists in Florida When Conducting Orotracheal Intubation—A Pilot Study
title Evaluation of Temporomandibular Joint by Anesthetists in Florida When Conducting Orotracheal Intubation—A Pilot Study
title_full Evaluation of Temporomandibular Joint by Anesthetists in Florida When Conducting Orotracheal Intubation—A Pilot Study
title_fullStr Evaluation of Temporomandibular Joint by Anesthetists in Florida When Conducting Orotracheal Intubation—A Pilot Study
title_full_unstemmed Evaluation of Temporomandibular Joint by Anesthetists in Florida When Conducting Orotracheal Intubation—A Pilot Study
title_short Evaluation of Temporomandibular Joint by Anesthetists in Florida When Conducting Orotracheal Intubation—A Pilot Study
title_sort evaluation of temporomandibular joint by anesthetists in florida when conducting orotracheal intubation—a pilot study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7601216/
https://www.ncbi.nlm.nih.gov/pubmed/33050183
http://dx.doi.org/10.3390/jcm9103229
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