What should be in a difficult airway cart?

The difficult airway cart must contain lidocaine 5% ointment and lidocaine 4% aqueous for atomization, in accordance with the three-step topicalization procedure of the upper airway recommended in Chapter 3.

What is difficult tracheal intubation?

Tracheal intubation may be difficult for either anatomical or physiological reasons. An anatomically difficult intubation (sometimes referred to as a “difficult airway”) involves challenges in viewing the vocal cords (difficult laryngoscopy) or passing a tube into the trachea (difficult endotracheal tube placement).

What causes difficult intubation?

The main factors implicated in difficult endotracheal intubation were poor dental condition in young patients, low Mallampati score and interincisor gap in middle-age patients, and high Mallampati score and cervical joint rigidity in elderly patients.

What is an Aintree catheter?

The Aintree Intubation Catheter (AIC, Cook Medical, USA) is a bougie tube designed for use with a fiberoptic bronchoscope (FOB) to facilitate endotracheal intubation through the standard Classic or Ambu laryngeal mask airway (LMA). The bronchoscope is placed through the lumen of the AIC (white tube) as shown below.

What are the difficult airway equipment?

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

Is a bougie reusable?

This product has been accepted as the gold standard for difficult airways. 2 The Portex® Single Use Bougie, offers several simple solutions for the difficult airway with a comprehensive range of single use and reusable devices.

Do you lubricate a Bougie?

Lubricate the distal end and cuff of the endotracheal tube (ETT) with a water-based lubricant and the distal 1/2 of the Bougie device. (Note: Failure to lubricate the Bougie and the ETT may result in being unable to pass the ETT).

What is a bougie for intubation?

A bougie is a thin plastic rod that is passed into the trachea, over which the endotracheal tube is inserted. Historically, most emergency tracheal intubations in the US have been performed using a stylet, with use of a bougie reserved for difficult intubations.