What is in a difficult airway trolley?

The trolley consists of 4 drawers corresponding to Plans A, B, C and D of the Difficult Airway Society guidelines for the management of unanticipated difficult intubation. The symbols used to depict these Plans are from the Vortex cognitive aid.

What are the difficult airway equipments?

Options include a video laryngoscope, Combitube, bougies, intubating laryngeal mask airway, intubating stylet, fiber-optic bronchoscope, and an articulating laryngoscope.

How do you assess for difficult intubation?

PREDICTING DIFFICULT INTUBATION AND VENTILATION- THE VALUE OF TESTING

1. Mallampati score: This is arguably the most recognized and most performed test for preoperative airway assessment.
2. Inter-incisor gap (IIG): Mouth opening has a sensitivity of around 25- 45%, a specificity of around 95%, and a PPV of up to 25%.

How do you prepare for difficult intubation?

Algorithms for anticipated difficult intubation

1. Change equipment (eg. get a different blade)
2. Change operator (get a more experienced person)
3. Change patient position (eg. elevate the head/shoulders)
4. Change modality (eg. try videolaryngoscopy)

What are the guidelines for a failed intubation?

The Difficult Airway Society (DAS) publishes evidence-based, peer-reviewed guidelines for unanticipated failed intubation. 1 These guidelines outline relatively simple airway skills, several of which are listed as core competencies for trainees by CICM, ACEM and ANZCA, and all of which are covered in the CCAM course.

When to use a central line intubation checklist?

Intubation Checklist Checklists Since Peter Pronovost’s landmark study on how a simple checklist can nearly abolish central line infections, checklists have been the darling of the medical literature. But central lines generally are for elective procedures, allowing us the time and patience to run through the list.

Where can I find the emcrit intubation checklist?

Available at [https://emcrit.org/emcrit/emcrit-intubation-checklist/ ]. Unless otherwise noted at the top of the post, the speaker (s) and related parties have no relevant financial disclosures. Already an EMCrit CME Subscriber?

Do you need a difficult airway trolley in ICU?

Every ICU should have immediate access to a difficult airway trolley. This should have the same content and layout as the one used in that hospital’s theatre department. The airway trolley needs regular checking, maintenance and replacement of equipment after use which should be appropriately documented.