What is a difficult airway trolley?

What is a difficult airway trolley?

A logically designed, guideline-based difficult airway trolley is a vital resource for any clinician involved in airway management and may aid the adherence to difficult airway algorithms during evolving airway emergencies.

What are the difficult airway equipment?

The options include the intubating laryngeal mask airway, fiberoptic bronchoscope, intubating stylet, articulating laryngoscope, video laryngoscope, and cricothyroidotomy.

What is an 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. 2. The symbols used to depict these Plans are from the Vortex cognitive aid.

How do you manage a difficult airway?

Noninvasive interventions intended to manage a difficult airway include, but are not limited to: (1) awake intubation, (2) video-assisted laryngoscopy, (3) intubating stylets or tube-changers, (4) SGA for ventilation (e.g., LMA, laryngeal tube), (5) SGA for intubation (e.g., ILMA), (6) rigid laryngoscopic blades of …

Why is difficult airway trolley important?

Provision of a DAT not only serves to provide and allow easy and timely access to the necessary equipment required in an emergency situation, but can also provide a visual prompt as to how to progress through a difficult airway management strategy by clearly and concisely labelled drawers.

What should be in an emergency trolley?

In some parts of the world, the emergency trolley is also called a ‘crash cart’. The essential equipment for resuscitation includes more than 100 items such as drugs, syringes, electrodes, defibrillators and easy access to electrical power (Donchin 2002:393).

What is the difference between difficult airway and difficult intubation?

A difficult airway is a clinical situation in which an anesthesiologist or other specially trained clinician has difficulty with mask ventilation or tracheal intubation. Difficult intubation can be defined as one requiring more than three attempts at laryngoscopy or more than 10 minutes of laryngoscopy.

What are types of airway management?

The 5 Types of Airway Management Equipment

• Facemask ventilation devices, which may use additional attachments.
• Supraglottic airway devices.
• Tracheal intubation.
• Suction machines for airway clearance.
• Transtracheal access.

How will you prepare a OT for a difficult airway case?

Preparation of the patient

Preoxygenate for a minimum of 3 minutes. During this time, either position the patient for intubation, or (if they cannot tolerate that position) prepare equipment and assistants to put them into that position as soon as the induction is commenced.

What drugs are found on the emergency trolley?

Pharmacists should stock the following medications in crash carts to fully prepare for a hospital code:

• Epinephrine. Epinephrine is the cornerstone of emergency treatment during a code.
• Amiodarone.
• Atropine.
• Calcium.
• Sodium Bicarbonate.
• Vasopressin.
• Dopamine.
• Naloxone.

How do you check a resuscitation trolley?

The first time you check the trolley, fill in the Specimen Signature page as well as the relevant weekly and/or daily check. 5) Daily, check the outside of the trolley including defibrillator, suction, oxygen, bougie, general cleanliness and the trolley seal number.

What causes a difficult airway?

A difficult intubation can occur because of anatomical abnormalities or situational factors such as airway inflammation. Anatomical factors indicative of difficult airway include high body mass index, older age, Mallampati grade III or IV, severely limited jaw protrusion, and thyromental distance of less than 6 cm [1].

What are the 5 P’s for intubation?

The steps in performing RSI are often described by the six “P’s”: preparation, preoxygenation, pretreatment, paralysis and induction, placement of the tube, and postintubation management (Fig. 5.1).

What 2 methods can be used to open the airway?

The two manual methods used to open an airway are the head-tilt, chin-lift and the jaw-thrust maneuver.

What is the most common reason for a difficult intubation?

The three most common reasons cited for difficult intubations were the presence of an anterior larynx (40.9%), neck immobility (23.7%) and profuse oral secretions and bleeding (15.1%) (Table 2).

What are the 5 emergency drugs?

Emergency drugs like adrenaline, salbutamol puff, atropine, aspirin, furosemide, hydrocortisone, insulin, lidocaine, and medical oxygen were available in all ICUs, whereas amiodarone, sodium bicarbonate, glucagon, ipratropium nebulization, thiamine were not available in all ICUs.

What are 4 types of drugs?

7 Drug Categories

• (1) Central Nervous System (CNS) Depressants. CNS depressants slow down the operations of the brain and the body.
• (2) CNS Stimulants.
• (3) Hallucinogens.
• (4) Dissociative Anesthetics.
• (5) Narcotic Analgesics.
• (6) Inhalants.
• (7) Cannabis.

How often should a crash trolley be checked?

What is the 3 3 2 rule for intubation?

(A) More than 3 fingers between the open incisors, indicating patient’s mouth opens adequately to permit the laryngoscope to reach the airway; (B) more than 3 fingers along from mentum to hyoid bone, which indicates enough space for intubation; (C)

What drug is given before intubation?

[4] Common sedative agents used during rapid sequence intubation include etomidate, ketamine, and propofol. Commonly used neuromuscular blocking agents are succinylcholine and rocuronium. Certain induction agents and paralytic drugs may be more beneficial than others in certain clinical situations.

What is the first response for an obstructed airway?

Basic Airway Management
For a choking patient who cannot breathe, cough, or clear their own airway, abdominal thrusts and back blows are the first line of defense. If you can see the airway obstruction and safely access it, a throat sweep to remove it can also help.

What is the most common effective method used to open the airway?

The head-tilt/chin-lift is the most reliable method of opening the airway.

How do you predict difficult intubation?

The greater the number of positive findings, the more likely intubation by direct laryngoscopy will be difficult. The highest positive predictive value comes from a history of difficulty with intubation, or findings of a short thyromental distance or decreased range of motion of the neck.

Which are life saving drugs?

List of Life-Saving Drugs

• 32 P Sodium Phosphate.
• Flucytosin.
• 5-Fluorouracil.
• 6-Isoguanine.
• Aclarubicin.
• Dactinomycin.
• Agglutinating Sera.
• Allopurinol.

What drugs are used in ICU?

Pharmacological management