Viviana Y. Perea-Gaitán, Anestesia Cardiovascular, Unidad Médica de Alta Especialidad de Cardiología, Centro Médico Nacional Siglo XXI, Ciudad de México, México
Sandra Ma. Ruiz-Beltrán, Servicio de Anestesiología, Hospital General Dr. Manuel Gea González, Secretaría de Salud, Ciudad de México, México
Juana A. Norberto-De la Vega, Servicio de Anestesiología, Hospital General Dr. Manuel Gea González, Secretaría de Salud, Ciudad de México, México
Rutilio D. Jiménez-Espinosa, Servicio o Departamento, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México
Karla B. Soto-Delgado, Servicio o Departamento, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México
Ana L. Hernández-Pérez, Servicio de Anestesiología, Centro Médico ABC, Ciudad de México, México
Background. Anesthesiologists perform critical tasks during the care of surgical patients, this because the administration of anesthesia implies continuous critical care and must maintain an intense and prolonged vigilant approach in patient care. This dictates that the anesthesiologist be in a state of continual physiological arousal which, by definition, is stress. Objective. To describe the changes in blood pressure, heart rate and pulse oximetry in the anesthesiology resident before and after performing a direct laryngoscopy with endotracheal intubation. Materials and methods. A follow-up of an observational, analytical, prospective and longitudinal cohort was conducted, which included 32 anesthesiology resident physicians. Blood pressure, heart rate, and pulse oximetry were assessed before and after direct laryngoscopy with endotracheal intubation. Statistical analysis with frequency and percentages as well as means and standard deviation, and paired t test were performed. Results. Thirty-two physicians aged 27 (26 to 35) years participated, with a predominance of the female gender, with 56.2%. Regarding the variables to be studied, there was a statistically significant difference between before and after laryngoscopy and intubation in blood pressure, heart rate, and peripheral oxygen saturation. Conclusion. There are significant changes in the vital signs of residents at the time of direct laryngoscopy and intubation. All these changes show the physiological response of the organism against different factors in situations of acute stress, which are very familiar in the work environment of anesthesiologists.
Keywords: Work stress. Anesthesiology. residents. Laryngoscopy.