Distribution by physical status ASA and Mallampati Scale of patients submitted to inguinal herniorrhapiers by laparoscopy

Rafael Antonio Caldart Bedin,Maísa Schultz,Felippe Orli De Farias Motta Külkamp,André Wanderley De Oliveira Guimarães,Antonio Bedin

doi:10.32749/nucleodoconhecimento.com.br/health/mallampati-scale

Rafael Antonio Caldart Bedin, Maísa Schultz + Show 3 more

Open Access

https://doi.org/10.32749/nucleodoconhecimento.com.br/health/mallampati-scale

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Abstract

In the preanesthetic evaluation, which should always occur before elective surgeries, the anesthesiologist performs the evaluation of the physical state. This study verified the profile of patients referred for inguinal herniorrharhary surgery in Joinville according to the criteria of the American Association of Anesthesiology from August 2016 to August 2017. The physical status was evaluated according to the classification of the American Association of Anesthesiology (ASA), identifying the classification of physical status (ASA 1, 2, 3, 4, 5 and 6) of patients undergoing inguinal herniorrhamy surgery in Joinville. The prevalence of airway 1, 2, 3 and 4 second Mallampati scale was verified. And it correlated the data for verification and elaboration of individualized therapeutic approaches according to the profiles found for the improvement of patient care. This was a retrospective epidemiological clinical study conducted from August 2016 to August 2017. 328 patients participated in the study, age 45.80±11.60, weight 81.22±13.32 and body mass index 27.28±3.79. The most frequent physical state, according to the American Society’s classification of Anesthesiology (ASA). Mallampati tracheal intubation difficulty was 1. This study aimed to quantify the prevalence of physical status ASA and mallampati classification of patients undergoing inguinal herniorrhacupia surgery in the city of Joinville between August 2016 and August 2017. In addition, demographic data (gender, age, weight and body mass index) were collected, as well as physical status and the mallampati intubation difficulty forecast classification.

Highlights

In the preanesthetic evaluation, which should always occur before elective surgeries, it is the function of the anesthesiologist to perform the evaluation of the physical state (CARVALHO and colab., 2019); (GREEN and ROBACK, 2019)
Descriptive statistics were used for data analysis and the Microsoft Excel program was used®. This was a retrospective epidemiological clinical study conducted at the preanesthetic evaluation clinic of the Joinville Anesthesiology Service in Joinville, Santa Catarina State, Brazil, from August 2016 to August 2017
The physical state according to the classification of the American Society the Anesthesiology (ASA), (Table 2)

Summary

Introduction

In the preanesthetic evaluation, which should always occur before elective surgeries, it is the function of the anesthesiologist to perform the evaluation of the physical state (CARVALHO and colab., 2019); (GREEN and ROBACK, 2019). This assessment is made according to the american society of anesthesiologists (ASA) is an important data, so that the anesthesiologist has the dimension of the potential risk during the anesthetic procedure (MCISAAC and colab., 2017). Many other authors, such as Davenport et al (2006), Schwartzman et al (2014 and 2011), Santos et al (2017) and Wolters et al (1996), made the relationship between preanesthetic evaluation and physical status with complications in surgery and anesthesia, which places these factors as important objects of study for a better medical practice (FUJIWARA et al, 2019)

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