{"id":39078,"date":"2025-11-05T10:56:31","date_gmt":"2025-11-05T13:56:31","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=39078"},"modified":"2025-11-05T10:56:33","modified_gmt":"2025-11-05T13:56:33","slug":"avaliacao-pre-anestesica","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/","title":{"rendered":"Pr\u00e9-Operat\u00f3rio: O que deve ser avaliado para uma correta anestesia?"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#O_que_e_a_Avaliacao_Pre-Anestesica_APA\" >O que \u00e9 a Avalia\u00e7\u00e3o Pr\u00e9-Anest\u00e9sica (APA)?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#Objetivos_Principais_da_APA\" >Objetivos Principais da APA<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#Estratificacao_de_Risco\" >Estratifica\u00e7\u00e3o de Risco<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#Classificacao_ASA_American_Society_of_of_Anesthesiologists\" >Classifica\u00e7\u00e3o ASA (American Society of of Anesthesiologists)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#Exames_Pre-Operatorios_Pedir_com_Criterio\" >Exames Pr\u00e9-Operat\u00f3rios: Pedir com Crit\u00e9rio<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#Risco_Cardiaco_e_Capacidade_Funcional\" >Risco Card\u00edaco e Capacidade Funcional<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#Otimizacao_de_Populacoes_Especiais\" >Otimiza\u00e7\u00e3o de Popula\u00e7\u00f5es Especiais<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#Criterios_para_classificacao_de_Child-Pugh\" >Crit\u00e9rios para classifica\u00e7\u00e3o de Child-Pugh<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#Jejum_e_Risco_de_Broncoaspiracao\" >Jejum e Risco de Broncoaspira\u00e7\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#Airway_A_Avaliacao_da_Via_Aerea\" >Airway: A Avalia\u00e7\u00e3o da Via A\u00e9rea<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#A_Historia_Clinica\" >A Hist\u00f3ria Cl\u00ednica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#O_Exame_Fisico\" >O Exame F\u00edsico<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#Complicacoes_e_Manejo_da_Via_Aerea\" >Complica\u00e7\u00f5es e Manejo da Via A\u00e9rea<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#Posicionamento_para_Intubacao\" >Posicionamento para Intuba\u00e7\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#Classificacao_de_Cormack-Lehane_Laringoscopia\" >Classifica\u00e7\u00e3o de Cormack-Lehane (Laringoscopia)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#Algoritmos_de_Via_Aerea_Dificil_VORTEX\" >Algoritmos de Via A\u00e9rea Dif\u00edcil (VORTEX)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#O_Plano_de_Acao_A_B_C_D\" >O Plano de A\u00e7\u00e3o (A, B, C, D)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/#Conquiste_a_aprovacao_e_acompanhe_mais_noticias\" >Conquiste a aprova\u00e7\u00e3o e acompanhe mais not\u00edcias!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-05T105308.903-1024x576.jpg\" alt=\"\" class=\"wp-image-39090\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-05T105308.903-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-05T105308.903-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-05T105308.903-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-05T105308.903-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-05T105308.903-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-05T105308.903-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-05T105308.903-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-05T105308.903-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-05T105308.903.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>A <strong>Avalia\u00e7\u00e3o Pr\u00e9-Anest\u00e9sica<\/strong> (APA) \u00e9 um pilar fundamental da seguran\u00e7a do paciente e uma das principais responsabilidades do anestesiologista. Mais do que uma simples consulta, \u00e9 um ato m\u00e9dico complexo que visa <strong>estratificar riscos, otimizar o paciente e planejar a melhor estrat\u00e9gia anest\u00e9sica.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-o-que-e-a-avaliacao-pre-anestesica-apa\"><span class=\"ez-toc-section\" id=\"O_que_e_a_Avaliacao_Pre-Anestesica_APA\"><\/span><strong>O que \u00e9 a Avalia\u00e7\u00e3o Pr\u00e9-Anest\u00e9sica (APA)?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Ela \u00e9 um requisito obrigat\u00f3rio estabelecido pela<strong> Resolu\u00e7\u00e3o CFM 1.802.<\/strong> \u00c9 crucial entender que <strong>a n\u00e3o realiza\u00e7\u00e3o da APA constitui neglig\u00eancia m\u00e9dica<\/strong> e pode acarretar processos legais.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-objetivos-principais-da-apa\"><span class=\"ez-toc-section\" id=\"Objetivos_Principais_da_APA\"><\/span><strong>Objetivos Principais da APA<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Nossa avalia\u00e7\u00e3o foca em <strong>tr\u00eas pontos centrais:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Estado de Sa\u00fade:<\/strong> Realizamos uma anamnese e exame f\u00edsico detalhados.<\/li>\n\n\n\n<li><strong>Estratifica\u00e7\u00e3o e Redu\u00e7\u00e3o de Riscos:<\/strong> Identificamos comorbidades e otimizamos o paciente.<\/li>\n\n\n\n<li><strong>Planejamento Anest\u00e9sico:<\/strong> Definimos a t\u00e9cnica, orientamos o paciente e obtemos o Termo de Consentimento Livre e Esclarecido (TCLE).<\/li>\n<\/ol>\n\n\n\n<p><strong>Lembrete:<\/strong> N\u00e3o h\u00e1 um intervalo m\u00ednimo padr\u00e3o entre a APA e a cirurgia; isso geralmente \u00e9 definido pela institui\u00e7\u00e3o. Al\u00e9m disso, o anestesiologista que realiza a APA n\u00e3o precisa ser, obrigatoriamente, o mesmo que administrar\u00e1 a anestesia no dia do procedimento.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-estratificacao-de-risco\"><span class=\"ez-toc-section\" id=\"Estratificacao_de_Risco\"><\/span><strong>Estratifica\u00e7\u00e3o de Risco<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-classificacao-asa-american-society-of-of-anesthesiologists\"><span class=\"ez-toc-section\" id=\"Classificacao_ASA_American_Society_of_of_Anesthesiologists\"><\/span><strong>Classifica\u00e7\u00e3o ASA (American Society of of Anesthesiologists)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Esta \u00e9 a classifica\u00e7\u00e3o mais universal do estado f\u00edsico do paciente:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>ASA I:<\/strong> Paciente saud\u00e1vel, sem comorbidades.<\/li>\n\n\n\n<li><strong>ASA II:<\/strong> Comorbidades leves, tabagismo, etilismo.<\/li>\n\n\n\n<li><strong>ASA III:<\/strong> Comorbidades graves ou mal controladas.<\/li>\n\n\n\n<li><strong>ASA IV:<\/strong> Condi\u00e7\u00e3o sist\u00eamica grave com amea\u00e7a \u00e0 vida.<\/li>\n\n\n\n<li><strong>ASA V:<\/strong> Paciente moribundo.<\/li>\n\n\n\n<li><strong>ASA VI:<\/strong> Morte encef\u00e1lica (doador de \u00f3rg\u00e3os).<\/li>\n<\/ul>\n\n\n\n<p>Se o procedimento for de emerg\u00eancia, adicionamos a letra<strong> &#8220;E&#8221; (ex: ASA IV-E).<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-exames-pre-operatorios-pedir-com-criterio\"><span class=\"ez-toc-section\" id=\"Exames_Pre-Operatorios_Pedir_com_Criterio\"><\/span><strong>Exames Pr\u00e9-Operat\u00f3rios: Pedir com Crit\u00e9rio<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>N\u00e3o pedimos exames de rotina para todos. A solicita\u00e7\u00e3o deve ser baseada na cl\u00ednica e no porte cir\u00fargico:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hemograma:<\/strong> Indicado para idosos e em cirurgias com perda sangu\u00ednea esperada.<\/li>\n\n\n\n<li><strong>Eletr\u00f3litos:<\/strong> Necess\u00e1rio em pacientes com doen\u00e7a renal, diabetes, ou que usam medica\u00e7\u00f5es que causam altera\u00e7\u00f5es hidroeletrol\u00edticas (como diur\u00e9ticos).<\/li>\n\n\n\n<li><strong>Eletrocardiograma (ECG):<\/strong> Para homens > 40 anos e mulheres > 50 anos com doen\u00e7a sist\u00eamica, diab\u00e9ticos, suspeita de doen\u00e7a cardiovascular ou fatores de risco presentes.<\/li>\n\n\n\n<li><strong>Radiografia de T\u00f3rax:<\/strong> Indicada na suspeita de edema, pneumonia, atelectasia, em idosos, tabagistas de longa data (> 20 anos) e pacientes com antecedentes de doen\u00e7as card\u00edacas ou pulmonares.<\/li>\n\n\n\n<li><strong>Coagula\u00e7\u00e3o:<\/strong> Essencial em pacientes com doen\u00e7a hep\u00e1tica, hist\u00f3ria de dist\u00farbios de coagula\u00e7\u00e3o, uso de quimioterapia ou medicamentos que alteram a coagula\u00e7\u00e3o.<\/li>\n\n\n\n<li><strong>Teste de Gravidez:<\/strong> Para mulheres em idade f\u00e9rtil.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-risco-cardiaco-e-capacidade-funcional\"><span class=\"ez-toc-section\" id=\"Risco_Cardiaco_e_Capacidade_Funcional\"><\/span><strong>Risco Card\u00edaco e Capacidade Funcional<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Para cirurgias n\u00e3o card\u00edacas, usamos os <strong>Crit\u00e9rios de Lee Modificados<\/strong> para estratificar o risco card\u00edaco. Os 6 fatores de risco s\u00e3o:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Cirurgia de alto risco (intraperitoneal, intrator\u00e1cica, vascular).<\/li>\n\n\n\n<li>Hist\u00f3ria de coronariopatia.<\/li>\n\n\n\n<li>Hist\u00f3ria de insufici\u00eancia card\u00edaca.<\/li>\n\n\n\n<li>Doen\u00e7a cerebrovascular.<\/li>\n\n\n\n<li>Diabetes mellitus insulino-dependente.<\/li>\n\n\n\n<li>Insufici\u00eancia renal (Creatinina > 2 mg\/dL).<\/li>\n<\/ol>\n\n\n\n<p>A chance de eventos cardiovasculares aumenta com o n\u00famero de fatores: 0 fatores (0,4%), 1 fator (0,9%), 2 fatores (6,6%) e 3 ou mais fatores (11%).<\/p>\n\n\n\n<p>Um dos indicadores mais pr\u00e1ticos \u00e9 a <strong>Capacidade Funcional (METs)<\/strong>. Precisamos que o paciente tenha, no m\u00ednimo, <strong>4 METs<\/strong> para autorizar a cirurgia. Se o paciente tiver &lt; 4 METs (ou desconhecido) e fatores de risco de Lee, ele pode precisar de testes n\u00e3o invasivos.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"579\" height=\"506\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-17.png\" alt=\"Fluxograma de estratifica\u00e7\u00e3o e redu\u00e7\u00e3o de riscos cir\u00fargicos segundo os crit\u00e9rios cl\u00ednicos e capacidade funcional do paciente \u2014 avalia\u00e7\u00e3o pr\u00e9-anest\u00e9sica.\" class=\"wp-image-39079\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-17.png 579w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-17-300x262.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-17-481x420.png 481w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-17-150x131.png 150w\" sizes=\"auto, (max-width: 579px) 100vw, 579px\" \/><figcaption class=\"wp-element-caption\">Fluxograma de estratifica\u00e7\u00e3o e redu\u00e7\u00e3o de riscos. Fonte: Acervo de aulas do Grupo MedCof.<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Timing p\u00f3s-Angioplastia:<\/strong> Deve-se aguardar idealmente 14 dias ap\u00f3s angioplastia com bal\u00e3o e de 6 a 12 meses ap\u00f3s angioplastia com <em>stent<\/em> para cirurgias eletivas.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-otimizacao-de-populacoes-especiais\"><span class=\"ez-toc-section\" id=\"Otimizacao_de_Populacoes_Especiais\"><\/span><strong>Otimiza\u00e7\u00e3o de Popula\u00e7\u00f5es Especiais<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pulmonar:<\/strong> Pacientes com DPOC ou submetidos a cirurgias cardiotor\u00e1cicas podem necessitar de espirometria pr\u00e9-operat\u00f3ria. O tabagismo deve ser suspenso idealmente 14 dias antes. Esses pacientes se beneficiam de anestesia peridural.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"735\" height=\"490\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image.jpeg\" alt=\"\" class=\"wp-image-39080\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image.jpeg 735w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-300x200.jpeg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-630x420.jpeg 630w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-150x100.jpeg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-696x464.jpeg 696w\" sizes=\"auto, (max-width: 735px) 100vw, 735px\" \/><figcaption class=\"wp-element-caption\">Exame de espirometria. Fonte: Pinterest.<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Renal:<\/strong> Pacientes com DRC\/IRA t\u00eam alto risco de complica\u00e7\u00f5es. Exigem screening de eletr\u00f3litos, hemograma, coagula\u00e7\u00e3o e TFG.<\/li>\n\n\n\n<li><strong>Hepatobiliar:<\/strong> Pacientes com cirrose s\u00e3o avaliados pelos crit\u00e9rios de MELD e Child-Pugh. Pacientes Child A ou MELD &lt; 10 podem ser submetidos a cirurgias eletivas complexas. Classifica\u00e7\u00f5es piores, apenas se for estritamente necess\u00e1rio.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-criterios-para-classificacao-de-child-pugh\"><span class=\"ez-toc-section\" id=\"Criterios_para_classificacao_de_Child-Pugh\"><\/span><strong>Crit\u00e9rios para classifica\u00e7\u00e3o de Child-Pugh<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Encefalopatia<\/strong><\/td><td><strong>Ausente<\/strong><\/td><td><strong>Confus\u00e3o mental<\/strong><\/td><td><strong>Coma<\/strong><\/td><\/tr><tr><td><strong>Ascite<\/strong><\/td><td>Ausente<\/td><td>Moderada *<\/td><td>Importante **<\/td><\/tr><tr><td><strong>Albumina<\/strong><\/td><td>&gt; 3,5 g\/dl<\/td><td>&gt; 2,8 &lt; 3,5 g\/dl<\/td><td>&lt; 2,8 g\/dl<\/td><\/tr><tr><td><strong>Bilirrubina total<\/strong><\/td><td>&lt; 2 mg\/dl<\/td><td>&gt; 2 &lt; 3 mg\/dl<\/td><td>&gt; 3 mg\/dl<\/td><\/tr><tr><td><strong>Bilirrubina total ***<\/strong><\/td><td>&lt; 4 mg\/dl<\/td><td>&gt; 4 &lt; 10 mg\/dl<\/td><td>&gt; 10 mg\/dl<\/td><\/tr><tr><td><strong>Tempo\/Protrombina<\/strong><\/td><td>&lt; 4,0 seg<\/td><td>&gt; 4,0 &lt; 6,0 seg<\/td><td>&gt; 6,0 seg<\/td><\/tr><tr><td><strong>Pontos\/par\u00e2metro<\/strong><\/td><td>1<\/td><td>2<\/td><td>3<\/td><\/tr><tr><td><strong>Pontos totais<\/strong><\/td><td>5-6<\/td><td>7-9<\/td><td>10-15<\/td><\/tr><tr><td><strong>Classifica\u00e7\u00e3o<\/strong><\/td><td>A<\/td><td>B<\/td><td>C<\/td><\/tr><\/tbody><\/table><figcaption class=\"wp-element-caption\">*Ascite compensada com uso de diur\u00e9tico<br>**Ascite descompensada com uso de diur\u00e9ticos<br>***Na cirrose biliar\u00a0<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Reumatol\u00f3gico:<\/strong> O uso de corticoides e imunomoduladores \u00e9 um desafio. Metotrexato e corticoides geralmente s\u00e3o mantidos. Se houver suspeita de supress\u00e3o do eixo adrenal, pode-se realizar dose de ataque com hidrocortisona.<\/li>\n\n\n\n<li><strong>Nutri\u00e7\u00e3o:<\/strong> A desnutri\u00e7\u00e3o aumenta o risco de infec\u00e7\u00e3o e deisc\u00eancia de suturas. Avaliamos com albumina, pr\u00e9-albumina, transferrina e classifica\u00e7\u00f5es como o NRS 2002.<\/li>\n\n\n\n<li><strong>Paliativos:<\/strong> Usamos a classifica\u00e7\u00e3o de <strong>Karnofsky<\/strong>. Geralmente, um resultado > 70 \u00e9 necess\u00e1rio para indicar procedimentos cir\u00fargicos.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"514\" height=\"550\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-18.png\" alt=\"Tabela da Classifica\u00e7\u00e3o de Karnofsky, com n\u00edveis de 100% a 10%, usada para avaliar o estado funcional e progn\u00f3stico do paciente antes de procedimentos cir\u00fargicos.\" class=\"wp-image-39084\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-18.png 514w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-18-280x300.png 280w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-18-393x420.png 393w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-18-150x161.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-18-300x321.png 300w\" sizes=\"auto, (max-width: 514px) 100vw, 514px\" \/><figcaption class=\"wp-element-caption\">Classifica\u00e7\u00e3o de Karnofsky. Fonte: Acervo de aulas do Grupo MedCof.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-jejum-e-risco-de-broncoaspiracao\"><span class=\"ez-toc-section\" id=\"Jejum_e_Risco_de_Broncoaspiracao\"><\/span><strong>Jejum e Risco de Broncoaspira\u00e7\u00e3o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Este \u00e9 um ponto cr\u00edtico de seguran\u00e7a. O jejum visa prevenir a aspira\u00e7\u00e3o pulmonar do conte\u00fado g\u00e1strico e a subsequente pneumonite qu\u00edmica, que tem progn\u00f3stico reservado e mortalidade de at\u00e9 70%.<\/p>\n\n\n\n<p>Os protocolos atuais s\u00e3o mais flex\u00edveis:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>2 horas:<\/strong> L\u00edquidos claros (sem res\u00edduos).<\/li>\n\n\n\n<li><strong>4 horas:<\/strong> Amamenta\u00e7\u00e3o.<\/li>\n\n\n\n<li><strong>6 horas:<\/strong> Refei\u00e7\u00f5es leves e f\u00f3rmula infantil.<\/li>\n\n\n\n<li><strong>8 horas:<\/strong> Refei\u00e7\u00f5es pesadas.<\/li>\n<\/ul>\n\n\n\n<p><strong>Aten\u00e7\u00e3o aos pacientes de &#8220;est\u00f4mago cheio&#8221;<\/strong>: Mesmo em jejum, devemos considerar pacientes com alto risco de broncoaspira\u00e7\u00e3o, como:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diab\u00e9ticos (neuropatia\/disautonomia).<\/li>\n\n\n\n<li>Pacientes em trabalho de parto.<\/li>\n\n\n\n<li>Abdome agudo, oclus\u00e3o intestinal ou \u00edleo paral\u00edtico.<\/li>\n\n\n\n<li>Politrauma ou TCE\/HIC.<\/li>\n\n\n\n<li>Usu\u00e1rios de an\u00e1logos de GLP-1 (ex: Ozempic).<\/li>\n\n\n\n<li>Hist\u00f3ria de gastroparesia ou regurgita\u00e7\u00e3o.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"492\" height=\"529\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-19.png\" alt=\"Tabela com causas de est\u00f4mago cheio e risco aumentado de broncoaspira\u00e7\u00e3o, incluindo abdome agudo, gastroparesia, diabetes, vagotomia cir\u00fargica e uso de an\u00e1logos de GLP-1.\" class=\"wp-image-39085\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-19.png 492w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-19-279x300.png 279w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-19-391x420.png 391w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-19-150x161.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-19-300x323.png 300w\" sizes=\"auto, (max-width: 492px) 100vw, 492px\" \/><figcaption class=\"wp-element-caption\">Risco de broncoaspira\u00e7\u00e3o. Fonte: Acervo de aulas do Grupo MedCof.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-airway-a-avaliacao-da-via-aerea\"><span class=\"ez-toc-section\" id=\"Airway_A_Avaliacao_da_Via_Aerea\"><\/span><strong>Airway: A Avalia\u00e7\u00e3o da Via A\u00e9rea<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A falha no manejo da via a\u00e9rea \u00e9 uma das principais causas de morbimortalidade anest\u00e9sica.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-a-historia-clinica\"><span class=\"ez-toc-section\" id=\"A_Historia_Clinica\"><\/span><strong>A Hist\u00f3ria Cl\u00ednica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>O <strong>principal indicador de via a\u00e9rea dif\u00edcil (VAD) \u00e9 o hist\u00f3rico de VAD pr\u00e9vio<\/strong>. Devemos perguntar ativamente sobre:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Manejos de via a\u00e9rea anteriores (intuba\u00e7\u00e3o dif\u00edcil? IOT prolongada?).<\/li>\n\n\n\n<li>Radioterapia c\u00e9rvico-facial.<\/li>\n\n\n\n<li>Cirurgias de cabe\u00e7a, pesco\u00e7o ou coluna cervical.<\/li>\n\n\n\n<li>Condi\u00e7\u00f5es associadas: Diabetes, Artrite Reumatoide, B\u00f3cio, Acromegalia, Espondilite Anquilosante, tumores, etc..<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-o-exame-fisico\"><span class=\"ez-toc-section\" id=\"O_Exame_Fisico\"><\/span><strong>O Exame F\u00edsico<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Classifica\u00e7\u00e3o de Mallampati:<\/strong> Avalia a visibilidade da \u00favula. \u00c9 feita com o paciente sentado.\n<ul class=\"wp-block-list\">\n<li><strong>Classe I:<\/strong> V\u00ea palato mole, fauce, \u00favula e pilares.<\/li>\n\n\n\n<li><strong>Classe II:<\/strong> V\u00ea palato mole, fauce e \u00favula (\u00e1pice).<\/li>\n\n\n\n<li><strong>Classe III:<\/strong> V\u00ea palato mole e base da \u00favula.<\/li>\n\n\n\n<li><strong>Classe IV:<\/strong> N\u00e3o se v\u00ea o palato mole.<\/li>\n\n\n\n<li><em>Importante: Mallampati, isoladamente, n\u00e3o \u00e9 capaz de predizer VAD<\/em>.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"350\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-20-1024x350.png\" alt=\"Ilustra\u00e7\u00e3o da Classifica\u00e7\u00e3o de Mallampati, mostrando as classes I a IV conforme a visibilidade da \u00favula e do palato, usada para prever dificuldade de intuba\u00e7\u00e3o.\" class=\"wp-image-39086\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-20-1024x350.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-20-300x102.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-20-768x262.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-20-1230x420.png 1230w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-20-150x51.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-20-696x238.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-20-1068x365.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-20.png 1256w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Ilustra\u00e7\u00e3o da Classifica\u00e7\u00e3o de Mallampati. Fonte: Acervo de aulas do Grupo MedCof.<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Preditores de VAD (2 ou + = poss\u00edvel VAD):<\/strong>\n<ul class=\"wp-block-list\">\n<li>Mallampati III ou IV.<\/li>\n\n\n\n<li>Abertura da boca &lt; 3 cm.<\/li>\n\n\n\n<li>Dist\u00e2ncia esternomentoniana &lt; 12,5 cm.<\/li>\n\n\n\n<li>Dist\u00e2ncia tireomentoniana &lt; 3 dedos m\u00e9dios.<\/li>\n\n\n\n<li>Extens\u00e3o cervical limitada (paciente n\u00e3o consegue estender o pesco\u00e7o).<\/li>\n\n\n\n<li>Retrognatismo.<\/li>\n\n\n\n<li>Mobilidade mandibular limitada (Upper lip bite test).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"428\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-21-1024x428.png\" alt=\"Ilustra\u00e7\u00e3o do Upper Lip Bite Test, apresentando as classes I, II e III, conforme a capacidade do paciente de morder o l\u00e1bio superior \u2014 teste para prever via a\u00e9rea dif\u00edcil.\" class=\"wp-image-39087\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-21-1024x428.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-21-300x125.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-21-768x321.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-21-1005x420.png 1005w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-21-150x63.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-21-696x291.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-21-1068x447.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-21.png 1294w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Upper lip bite test. Fonte: Acervo de aulas do Grupo MedCof.<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Preditores de Ventila\u00e7\u00e3o por M\u00e1scara Facial Dif\u00edcil (Mnem\u00f4nico OBESE):<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>O<\/strong>besidade (IMC > 26 kg\/m\u00b2).<\/li>\n\n\n\n<li><strong>B<\/strong>arba.<\/li>\n\n\n\n<li><strong>E<\/strong>nvelhecimento (Elderly > 55 anos).<\/li>\n\n\n\n<li><strong>S<\/strong>ons ao dormir (Roncos).<\/li>\n\n\n\n<li><strong>E<\/strong>dentado (Aus\u00eancia de dentes).<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Via A\u00e9rea Fisiologicamente Dif\u00edcil:<\/strong> O paciente pode n\u00e3o ter anatomia dif\u00edcil, mas seu quadro hemodin\u00e2mico (hipotens\u00e3o, trauma, choque) torna a intuba\u00e7\u00e3o complexa e arriscada.<\/li>\n\n\n\n<li><strong>Obesidade:<\/strong><em> <\/em>N\u00e3o \u00e9, isoladamente, um preditor de via a\u00e9rea dif\u00edcil (intuba\u00e7\u00e3o), mas <em>\u00e9<\/em> um preditor de ventila\u00e7\u00e3o com m\u00e1scara dif\u00edcil (IMC > 26).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-complicacoes-e-manejo-da-via-aerea\"><span class=\"ez-toc-section\" id=\"Complicacoes_e_Manejo_da_Via_Aerea\"><\/span><strong>Complica\u00e7\u00f5es e Manejo da Via A\u00e9rea<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-posicionamento-para-intubacao\"><span class=\"ez-toc-section\" id=\"Posicionamento_para_Intubacao\"><\/span><strong>Posicionamento para Intuba\u00e7\u00e3o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>O objetivo \u00e9 alinhar os eixos oral, lar\u00edngeo e far\u00edngeo. A posi\u00e7\u00e3o correta \u00e9 a <strong>&#8220;sniffing position&#8221;<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Utilizamos um coxim suboccipital para alinhar o tragus na altura do esterno.<\/li>\n\n\n\n<li>Em pacientes obesos, usamos o <strong>m\u00e9todo da rampa<\/strong> (eleva\u00e7\u00e3o de tronco e cabe\u00e7a).<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"304\" height=\"439\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-22.png\" alt=\"\" class=\"wp-image-39088\" style=\"width:319px;height:auto\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-22.png 304w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-22-208x300.png 208w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-22-291x420.png 291w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-22-150x217.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-22-300x433.png 300w\" sizes=\"auto, (max-width: 304px) 100vw, 304px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-classificacao-de-cormack-lehane-laringoscopia\"><span class=\"ez-toc-section\" id=\"Classificacao_de_Cormack-Lehane_Laringoscopia\"><\/span><strong>Classifica\u00e7\u00e3o de Cormack-Lehane (Laringoscopia)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>O que vemos durante a laringoscopia:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Grau I:<\/strong> Maior parte da fenda gl\u00f3tica vis\u00edvel.<\/li>\n\n\n\n<li><strong>Grau IIA:<\/strong> Parte posterior da fenda gl\u00f3tica vis\u00edvel.<\/li>\n\n\n\n<li><strong>Grau IIB:<\/strong> Apenas as cartilagens ariten\u00f3ides s\u00e3o vis\u00edveis.<\/li>\n\n\n\n<li><strong>Grau IIIA:<\/strong> Epiglote vis\u00edvel com sua eleva\u00e7\u00e3o.<\/li>\n\n\n\n<li><strong>Grau IIIB:<\/strong> Epiglote aderida \u00e0 laringe.<\/li>\n\n\n\n<li><strong>Grau IV:<\/strong> N\u00e3o se visualiza nada.<\/li>\n<\/ul>\n\n\n\n<p><strong>Nota Pr\u00e1tica:<\/strong> Pacientes <a href=\"https:\/\/www.grupomedcof.com.br\/blog\/estrategias-de-avaliacao-de-via-aerea\/\" target=\"_blank\" rel=\"noreferrer noopener\">Cormack<\/a> I-IIA geralmente permitem intuba\u00e7\u00e3o. Graus IIB-III podem necessitar de auxiliares como o <em>bougie<\/em>. Graus IIIB-IV podem exigir broncoscopia.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-algoritmos-de-via-aerea-dificil-vortex\"><span class=\"ez-toc-section\" id=\"Algoritmos_de_Via_Aerea_Dificil_VORTEX\"><\/span><strong>Algoritmos de Via A\u00e9rea Dif\u00edcil (VORTEX)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Devemos ter um plano claro para quando a intuba\u00e7\u00e3o falha. O VORTEX considera 3 &#8220;linhas de vida&#8221; (dispositivos):<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Ventila\u00e7\u00e3o n\u00e3o invasiva (M\u00e1scara Facial).<\/li>\n\n\n\n<li>Intuba\u00e7\u00e3o orotraqueal.<\/li>\n\n\n\n<li>Dispositivo supragl\u00f3tico (M\u00e1scara Lar\u00edngea).<\/li>\n<\/ol>\n\n\n\n<p>S\u00e3o permitidas no m\u00e1ximo 3 tentativas em cada linha de vida (a menos que haja um &#8220;game changer&#8221;), e pelo menos uma deve ser feita pelo m\u00e9dico mais experiente.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-o-plano-de-acao-a-b-c-d\"><span class=\"ez-toc-section\" id=\"O_Plano_de_Acao_A_B_C_D\"><\/span><strong>O Plano de A\u00e7\u00e3o (A, B, C, D)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Se a APA identificou uma VAD, seguimos um plano:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Plano A: Ventila\u00e7\u00e3o com m\u00e1scara facial e intuba\u00e7\u00e3o traqueal<\/strong>.\n<ul class=\"wp-block-list\">\n<li><em>Falha na Intuba\u00e7\u00e3o -> Vai para o Plano B.<\/em><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Plano B: Manuten\u00e7\u00e3o da oxigena\u00e7\u00e3o e inser\u00e7\u00e3o de Dispositivo Supragl\u00f3tico (VRS)<\/strong>.\n<ul class=\"wp-block-list\">\n<li>Se tiver <em>sucesso<\/em> na ventila\u00e7\u00e3o com o VRS, &#8220;Pare e Pense&#8221;: 1. Acordar o paciente; 2. Intubar atrav\u00e9s do VRS; 3. Prosseguir sem intubar; 4. Via a\u00e9rea cir\u00fargica.<\/li>\n\n\n\n<li><em>Falha na ventila\u00e7\u00e3o com VRS -> Vai para o Plano C.<\/em><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Plano C: Tentativa final de ventila\u00e7\u00e3o com m\u00e1scara facial<\/strong>.\n<ul class=\"wp-block-list\">\n<li>Se <em>sucesso<\/em> -> Acordar o paciente.<\/li>\n\n\n\n<li><em>Falha (CICO) -> Vai para o Plano D.<\/em><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Plano D: Acesso emergencial \u00e0 parte frontal do pesco\u00e7o<\/strong>.\n<ul class=\"wp-block-list\">\n<li>Realizar <strong>cricotireoidostomia<\/strong>. Este \u00e9 o cen\u00e1rio &#8220;N\u00e3o Consigo Intubar, N\u00e3o Consigo Oxigenar&#8221; (CICO).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"834\" height=\"452\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-23.png\" alt=\"\" class=\"wp-image-39089\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-23.png 834w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-23-300x163.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-23-768x416.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-23-775x420.png 775w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-23-150x81.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-23-696x377.png 696w\" sizes=\"auto, (max-width: 834px) 100vw, 834px\" \/><figcaption class=\"wp-element-caption\">Fluxograma de Plano de A\u00e7\u00e3o. Fonte: Acervo de aulas do Grupo MedCof.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-conquiste-a-aprovacao-e-acompanhe-mais-noticias\"><span class=\"ez-toc-section\" id=\"Conquiste_a_aprovacao_e_acompanhe_mais_noticias\"><\/span><strong>Conquiste a aprova\u00e7\u00e3o e acompanhe mais not\u00edcias!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Gostou do conte\u00fado? Continue acompanhando nosso <strong>blog<\/strong> para ficar por dentro das principais\u00a0<strong>not\u00edcias sobre resid\u00eancia m\u00e9dica, editais e\u00a0<a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\" target=\"_blank\" rel=\"noreferrer noopener\">oportunidades<\/a>\u00a0que podem transformar sua carreira!<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"SCdWKQb7IQ8\"><iframe loading=\"lazy\" title=\"Tudo o que voc\u00ea precisa saber sobre Avalia\u00e7\u00e3o Pr\u00e9-Anest\u00e9sica. Com Dr. Luan Marinho\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/SCdWKQb7IQ8?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Entenda objetivos, crit\u00e9rios de risco, exames indicados e cuidados essenciais para garantir seguran\u00e7a e preparo cir\u00fargico.<\/p>\n","protected":false},"author":21,"featured_media":39090,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[243],"tags":[3298,1392,3300,1800,3299],"ppma_author":[3617],"class_list":{"0":"post-39078","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-anestesiologia","8":"tag-airway","9":"tag-apa","10":"tag-avaliacao-pre-anestesica","11":"tag-avaliacoes-pre-operatorias","12":"tag-broncoaspiracao"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Pr\u00e9-Operat\u00f3rio: O que deve ser avaliado para uma correta anestesia? - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"Entenda objetivos, crit\u00e9rios de risco, exames indicados e cuidados essenciais para garantir seguran\u00e7a e preparo cir\u00fargico.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pr\u00e9-Operat\u00f3rio: O que deve ser avaliado para uma correta anestesia?\" \/>\n<meta property=\"og:description\" content=\"Entenda objetivos, crit\u00e9rios de risco, exames indicados e cuidados essenciais para garantir seguran\u00e7a e preparo cir\u00fargico.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/avaliacao-pre-anestesica\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/MedCofQbank\/\" \/>\n<meta property=\"article:published_time\" content=\"2025-11-05T13:56:31+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-05T13:56:33+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-05T105308.903.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Kiara Adelino\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Kiara Adelino\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"11 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/avaliacao-pre-anestesica\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/avaliacao-pre-anestesica\\\/\"},\"author\":{\"name\":\"Kiara Adelino\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/db19a651f86c5fc202d6eee744fd3292\"},\"headline\":\"Pr\u00e9-Operat\u00f3rio: O que deve ser avaliado para uma correta anestesia?\",\"datePublished\":\"2025-11-05T13:56:31+00:00\",\"dateModified\":\"2025-11-05T13:56:33+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/avaliacao-pre-anestesica\\\/\"},\"wordCount\":1775,\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/avaliacao-pre-anestesica\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2025\\\/11\\\/Blog-MedCof-2025-11-05T105308.903.jpg\",\"keywords\":[\"Airway\",\"apa\",\"Avalia\u00e7\u00e3o Pr\u00e9-Anest\u00e9sica\",\"Avalia\u00e7\u00f5es Pr\u00e9-operat\u00f3rias\",\"Broncoaspira\u00e7\u00e3o\"],\"articleSection\":[\"Anestesiologia\"],\"inLanguage\":\"pt-BR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/avaliacao-pre-anestesica\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/avaliacao-pre-anestesica\\\/\",\"name\":\"Pr\u00e9-Operat\u00f3rio: O que deve ser avaliado para uma correta anestesia? 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