title: Is the anesthesiologist actually prepared for loss of airway or respiratory function? A cross-sectional study conducted in a tertiary hospital.
abstract: OBJECTIVE
  To identify compliance with the procedures for securing the airway of patients submitted to anesthesia, defined as highly recommended in the World Health Organization Surgical Safety Checklist.
  
  
  METHODS
  A prospective, cross-sectional, observational study was conducted with 87 patients aged 18 to 60 years, classified as ASA grade 1 or 2 according to the American Society of Anesthesiologists' Physical Status Classification. The study variables consisted of: whether the Mallampati test had been performed, whether equipment was readily available for orotracheal intubation, whether the correct placement of the endotracheal tube was verified, whether patient ventilation was monitored and whether fasting was confirmed. Prevalence ratios and their respective 95% confidence intervals were calculated as measures of relative risk. Statistical significance was defined at 5%.
  
  
  RESULTS
  It was found that in 87.4% of patients, the airway was not evaluated using the Mallampati classification and in 51.7% of cases, preoperative fasting was not confirmed. In 29.9% of cases, the ready availability of equipment for orotracheal intubation was not verified. In all of the cases in which the availability of this equipment was not checked, the patient was submitted to regional anesthesia, with a statistically significant difference compared to the cases in which the patient was submitted to general anesthesia.
  
  
  CONCLUSIONS
  Measures considered essential for the safety of the patient during surgery are still being ignored.
authors.affiliation: Medical Degree, University of Pernambuco, Recife, PE, Brazil.
authors.forename: Helga
authors.initials: H
authors.lastname: Vasconcelos
authors.affiliation: Fellow, Scientific Initiation Program, FPS, Recife, PE, Brazil.
authors.forename: Camila Cavalcante
authors.initials: CC
authors.lastname: Bomfim
authors.affiliation: Professor, Faculdade Pernambucana de Saúde, Recife, PE, Brazil.
authors.forename: Maria Julia Gonçalves de Mello
authors.initials: MJ
authors.lastname: Mello
authors.affiliation: Doctoral student, IMIP, Recife, PE, Brazil.
authors.forename: Paulo Sérgio Gomes Nogueira
authors.initials: PS
authors.lastname: Borges
authors.affiliation: Specialist certificate, Pain Management awarded, Brazilian Medical Association, Brazilian Society of Anesthesiology, Recife, PE, Brazil.
authors.forename: Tania Cursino de Menezes
authors.initials: TC
authors.lastname: Couceiro
authors.affiliation: Professor, Faculdade Pernambucana de Saúde, Recife, PE, Brazil.
authors.forename: Flávia Augusta de
authors.initials: FA
authors.lastname: Orange
mesh_terms: D000293:Adolescent; D000328:Adult; D058109:Airway Management / Q000379:methods*; D000765:Anesthesia, Conduction; D000776:Anesthesiology; D001291:Attitude of Health Personnel; D057189:Checklist; D003430:Cross-Sectional Studies; D005215:Fasting; D006801:Humans; D007431:Intraoperative Complications / Q000534:rehabilitation*; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D061214:Patient Safety / Q000592:standards; D011446:Prospective Studies; D062606:Tertiary Care Centers; D055815:Young Adult