What is in a difficult intubation trolley?
What is in a difficult intubation trolley?
The contents of the trolley should include a range of tracheal tubes, laryngoscopes, bougies, airway exchange catheters, laryngeal mask airways and cricothyroid needles for emergency oxygen insufflation.”
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.
What is the ASA difficult airway algorithm?
The Difficult Airway Algorithm of the American Society of Anesthesiologists (ASA) was developed to guide clinicians in the management of the patient who is either predicted to have a difficult airway or whose airway cannot be adequately managed after induction of anesthesia (1).
What is difficult airway anesthesia?
DEFINITIONS. For the purpose of this topic, the difficult airway is defined as the situation in which the anesthesia clinician experiences difficulty with ventilation by mask or supraglottic airway (SGA), difficulty with tracheal intubation, or both.
What drugs are used for 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 a gum elastic bougie?
The gum-elastic bougie (GEB), a tracheal tube introducer, is commonly used in airway management and its use is recommended by national guidelines at early stages of difficult intubation [6, 7].
What are airway equipments?
Newer airway equipment, such as optical and video laryngoscopes (AirTraq, GlideScope, McGrath) and stylets (Shikani Seeing Stylet), may be utilized to improve visualization of the glottic opening.
How do you assess a difficult airway?
A large mandible can also attribute to a difficult airway by elongating the oral axis and impairing visualization of the vocal cords. The patient can also be asked to open their mouth while sitting upright to assess the extent to which the tongue prevents the visualization of the posterior pharynx.
Why is atropine given before intubation?
Atropine is occasionally used as a premedication. Its anticholinergic effects reduce ACH-mediated bradycardia that can accompany endotracheal intubation. Etomidate is given IV over 30 to 60 seconds. Its actions are seen within 1 minute of IV administration.
