title: Orotracheal intubation: physicians knowledge assessment and clinical practices in intensive care units.
abstract: OBJECTIVE
  To assess the physicians knowledge on intubation techniques and to identify the common practices.
  
  
  METHODS
  This was a prospective study, involving three different intensive care units within a University hospital: Anesthesiology (ANEST), Pulmonology (PULMO) and Emergency Department (ED). All physicians working in these units and consenting to participate in the study completed a questionnaire with their demographic data and questions on orotracheal intubation.
  
  
  RESULTS
  85 completed questionnaires were retrieved (90.42% of the physicians). ANEST had the higher mean age (p=0.001), being 43.5% of them intensivists. The use of hypnotic and opioid association was reported by 97.6%, and pre-oxygenation by 91.8%, but only 44.6% reported sub-occipital pad use, with no difference between the ICUs. On ANEST an increased neuromuscular blockade use was reported (p<0.000) as well as increased caution with full stomach (p=0.002). The rapid sequence knowledge was restricted (mean 2.20 ± 0.89), p=0.06 between the different units. The Sellick maneuver was known by 97.6%, but 72% used it inappropriately.
  
  
  CONCLUSIONS
  Physicians knowledge on orotracheal intubation in the intensive care unit is unsatisfactory, even among qualified professionals. It is necessary to check if the responses to the questionnaire and actual clinical practices agree.
authors.affiliation: Curso de Medicina, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors.forename: Caroline Setsuko
authors.initials: CS
authors.lastname: Yamanaka
authors.affiliation: Disciplina de Emergências Clinicas, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors.forename: Aécio Flávio Teixeira de
authors.initials: AF
authors.lastname: Góis
authors.affiliation: Disciplina de Pneumologia, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors.forename: Paulo César Bastos
authors.initials: PC
authors.lastname: Vieira
authors.affiliation: Unidade de Terapia Intensiva, Disciplina de Anestesiologia, Dor e Terapia Intensiva, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors.forename: Jane Cristina Dias
authors.initials: JC
authors.lastname: Alves
authors.affiliation: Unidade de Terapia Intensiva, Disciplina de Anestesiologia, Dor e Terapia Intensiva, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors.forename: Luciana Matias de
authors.initials: LM
authors.lastname: Oliveira
authors.affiliation: Unidade de Terapia Intensiva, Disciplina de Emergências Clínicas, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors.forename: Leila
authors.initials: L
authors.lastname: Blanes
authors.affiliation: Unidade de Terapia Intensiva, Disciplina de Pneumologia, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors.forename: Eliton Paulo Leite
authors.initials: EP
authors.lastname: Lourenço
authors.affiliation: Setor de Terapia Intensiva, Disciplina de Anestesiologia, Dor e Terapia Intensiva, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors.forename: Murillo
authors.initials: M
authors.lastname: Assunção
authors.affiliation: Disciplina de Anestesiologia, Dor e Terapia Intensiva, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
authors.forename: Flavia Ribeiro
authors.initials: FR
authors.lastname: Machado