Treatment with statins can give rise to the appearance of undesirable side effects among patients being treated with oral devices.
Resumen:Introducción: La intubación endotraqueal es una técnica bien estandarizada pero sin embargo, dependiendo de la experiencia del operador, alteraciones anatómicas o impuestas por la patología, pueden existir situaciones en las que no se puede ventilar al paciente. Objetivo: Pretendemos identificar la implicación de nuestra disciplina en el control de la via aérea de pacientes que requieren anestesia o reanimación respiratoria o hemodinámica. Metodos: Se han estudiado los hallazgos clínicos denominados «poco tranquilizadores» publicados en la guía clí-nica de la Sociedad Americana de Anestesiología (ASA) para establecer una via aérea difícil a la intubación. Hemos tratado de ver y traducir estas situaciones clínicas desde el punto de vista ortodóncico-odontológico. Resultados: De los once criterios de riesgo de la ASA, podemos modificar favorablemente, con tratamientos ortodóncicos y ortopédicos convencionales, seis de ellos y parte de las situaciones adscritas al apartado cinco (grados III y IV de la clasificación de Mallampati-Samsoon). Conclusión: Parece adecuado considerar las posibilidades del tratamiento ortodóncico y la ortopedia dentofacial, no sólo como instrumento de tratamiento de maloclusiones habituales, sino como profilaxis de algunas situaciones que pueden desencadenar problemas ante situaciones de urgencia, como es la dificultad de intubación previa a una intervención quirúrgica.Palabras clave: Vía aérea dificil, Intubación endotraqueal, Ortodoncia, Vía aérea superior. Abstract: Introduction:Endotracheal intubation is a well standardised technique although depending on the experience of the operator, anatomical or pathology-related alterations, there may exist situations in which the patient cannot receive ventilation. Objective: We aim to identify the implication of our speciality in the control of the airway of patients requiring anaesthesia or respiratory or hemodynamic resuscitation. Methods: We have studied the clinical findings termed «non-reassuring» published in the PRACTICE GUIDELINES FOR MANAGEMENT OF THE DIFFICULT AIRWAY of the American Society of Anaesthesiology (ASA) in order to establish an airway difficult for intubation. We have attempted to view and translate these clinical situations from the orthodontic-odontologic perspective. Results: Of the eleven ASA risk criteria, we can favourably modify, with conventional orthodontic and orthopaedic treatments, six of these and part of the situations ascribed to Section five (degrees III and IV of the Mallampati-Samsoon classification). Conclusion: It seems fitting to consider the possibilities of orthodontic treatment and dentofacial orthopaedics, not only as an instrument for treating habitual malocclusions, but rather as a prophylaxis for some situations that can trigger off problems in emergency situations, such as the difficulty of intubation before a surgical operation.
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