scholarly journals Difficult Airway Trolleys for the Critical Care Unit

2010 ◽  
Vol 11 (2) ◽  
pp. 98-103 ◽  
Author(s):  
Paul Jeanrenaud ◽  
Vandana Girotra ◽  
Tim Wharton ◽  
Norman Main ◽  
Rifat Konuralp ◽  
...  

Airway management is paramount to patient safety in critical care. Intensive Care Society (ICS) standards state that all critical care areas should have a designated difficult airway trolley (DAT) equivalent to that found in operating theatres. We conducted a national survey to determine compliance with this guideline. Adult intensive care units (ICUs) were questioned about the presence of a DAT, its contents and airway training for clinicians. Two hundred and sixty-two ICUs responded to the survey (90%), of which 130 (50%) had a designated DAT. In 38 (29%), a difficult airway management algorithm was available. Capnography was unavailable in 51 (40%) units with a DAT. Compliance with ICS standards and guidelines should be encouraged with respect to DATs. DATs should be available for immediate use within the ICU. Staff should be trained in the use of DAT equipment and be familiar with a difficult airway management algorithm.

2012 ◽  
Vol 26 (6) ◽  
pp. 491-492 ◽  
Author(s):  
Tiberiu Ezri ◽  
Marian Weisenberg ◽  
Yitzhak Cohen ◽  
Shmuel Evron ◽  
Krzysztof M. Kuczkowski

2018 ◽  
Vol 42 (9) ◽  
pp. 519-526
Author(s):  
M.G. Gómez-Prieto ◽  
M.R. Míguez-Crespo ◽  
J.R. Jiménez-del-Valle ◽  
M.D. González-Caro ◽  
I. Marmesat-Ríos ◽  
...  

2011 ◽  
Vol 115 (2) ◽  
pp. 442-444 ◽  
Author(s):  
Fu-Shan Xue ◽  
Xu Liao ◽  
Yu-Jing Yuan ◽  
Qiang Wang ◽  
Jian-Hua Liu

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Jérôme Sudrial ◽  
Caroline Birlouez ◽  
Anne-Laurette Guillerm ◽  
Jean-Luc Sebbah ◽  
Roland Amathieu ◽  
...  

We report a case of prehospital “cannot intubate” and “cannot ventilate” scenarios successfully managed by strictly following a difficult airway management algorithm. Five airway devices were used: the Macintosh laryngoscope, the gum elastic Eschmann bougie, the LMA Fastrach, the Melker cricothyrotomy cannula, and the flexible fiberscope. Although several airway devices were used, overall airway management duration was relatively short, at 20 min, because for each scenario, failed primary and secondary backup devices were quickly abandoned after 2 failed attempts, each attempt of no more than 2 min in duration, in favor of the tertiary rescue device. Equally, all three of these rescue devices failed, an uncuffed cricothyroidotomy cannula was inserted to restore optimal arterial oxygenation until a definitive airway was secured in the ICU using a flexible fiberscope. Our case reinforces the need to strictly follow a difficult airway management algorithm that employs a limited number of effective devices and techniques, and highlights the imperative for early activation of successive preplanned steps of the algorithm.


2016 ◽  
Vol 30 (4) ◽  
pp. 644-652 ◽  
Author(s):  
Yuko Ono ◽  
Koichi Tanigawa ◽  
Kazuaki Shinohara ◽  
Tetsuhiro Yano ◽  
Kotaro Sorimachi ◽  
...  

2021 ◽  
Author(s):  
Jeffrey L. Apfelbaum ◽  
Carin A. Hagberg ◽  
Richard T. Connis ◽  
Basem B. Abdelmalak ◽  
Madhulika Agarkar ◽  
...  

The American Society of Anesthesiologists; All India Difficult Airway Association; European Airway Management Society; European Society of Anaesthesiology and Intensive Care; Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care, Learning, Teaching and Investigation Difficult Airway Group; Society for Airway Management; Society for Ambulatory Anesthesia; Society for Head and Neck Anesthesia; Society for Pediatric Anesthesia; Society of Critical Care Anesthesiologists; and the Trauma Anesthesiology Society present an updated report of the Practice Guidelines for Management of the Difficult Airway.


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