The Difficult Airway Trolley: A Narrative Review and Practical Guide
Death and severe morbidity attributable to anesthesia are commonly associated with failed difficult airway management. When an airway emergency develops, immediate access to difficult airway equipment is critical for implementation of rescue strategies. Previously, national expert consensus guidelin...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2019/6780254 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832561955252994048 |
|---|---|
| author | Martin F. Bjurström Mikael Bodelsson Louise W. Sturesson |
| author_facet | Martin F. Bjurström Mikael Bodelsson Louise W. Sturesson |
| author_sort | Martin F. Bjurström |
| collection | DOAJ |
| description | Death and severe morbidity attributable to anesthesia are commonly associated with failed difficult airway management. When an airway emergency develops, immediate access to difficult airway equipment is critical for implementation of rescue strategies. Previously, national expert consensus guidelines have provided only limited guidance for the design and setup of a difficult airway trolley. The overarching aim of the current work was to create a dedicated difficult airway trolley (for patients>12 years old) for use in anesthesia theatres, intensive care units, and emergency departments. A systematic literature search was performed, using the PubMed, Embase, and Google Scholar search engines. Based on evidence presented in 11 national or international guidelines, and peer-reviewed journals, we present and outline a difficult airway trolley organized to accommodate sequential progression through a four-step difficult airway algorithm. The contents of the top four drawers correspond to specific steps in the airway algorithm (A = intubation, B = oxygenation via a supraglottic airway device, C = facemask ventilation, and D = emergency invasive airway access). Additionally, specialized airway equipment may be included in the fifth drawer of the proposed difficult airway trolley, thus enabling widespread use. 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. Future research examining the availability of rescue airway devices in various clinical settings, and simulation studies comparing different types of difficult airway trolleys, are encouraged. |
| format | Article |
| id | doaj-art-040df07ccd734c178ef079d38ba4469e |
| institution | Kabale University |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Anesthesiology Research and Practice |
| spelling | doaj-art-040df07ccd734c178ef079d38ba4469e2025-02-03T01:23:42ZengWileyAnesthesiology Research and Practice1687-69621687-69702019-01-01201910.1155/2019/67802546780254The Difficult Airway Trolley: A Narrative Review and Practical GuideMartin F. Bjurström0Mikael Bodelsson1Louise W. Sturesson2Lund University, Skåne University Hospital, Department of Clinical Sciences Lund, Anesthesiology and Intensive Care, Lund, SwedenLund University, Skåne University Hospital, Department of Clinical Sciences Lund, Anesthesiology and Intensive Care, Lund, SwedenLund University, Skåne University Hospital, Department of Clinical Sciences Lund, Anesthesiology and Intensive Care, Lund, SwedenDeath and severe morbidity attributable to anesthesia are commonly associated with failed difficult airway management. When an airway emergency develops, immediate access to difficult airway equipment is critical for implementation of rescue strategies. Previously, national expert consensus guidelines have provided only limited guidance for the design and setup of a difficult airway trolley. The overarching aim of the current work was to create a dedicated difficult airway trolley (for patients>12 years old) for use in anesthesia theatres, intensive care units, and emergency departments. A systematic literature search was performed, using the PubMed, Embase, and Google Scholar search engines. Based on evidence presented in 11 national or international guidelines, and peer-reviewed journals, we present and outline a difficult airway trolley organized to accommodate sequential progression through a four-step difficult airway algorithm. The contents of the top four drawers correspond to specific steps in the airway algorithm (A = intubation, B = oxygenation via a supraglottic airway device, C = facemask ventilation, and D = emergency invasive airway access). Additionally, specialized airway equipment may be included in the fifth drawer of the proposed difficult airway trolley, thus enabling widespread use. 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. Future research examining the availability of rescue airway devices in various clinical settings, and simulation studies comparing different types of difficult airway trolleys, are encouraged.http://dx.doi.org/10.1155/2019/6780254 |
| spellingShingle | Martin F. Bjurström Mikael Bodelsson Louise W. Sturesson The Difficult Airway Trolley: A Narrative Review and Practical Guide Anesthesiology Research and Practice |
| title | The Difficult Airway Trolley: A Narrative Review and Practical Guide |
| title_full | The Difficult Airway Trolley: A Narrative Review and Practical Guide |
| title_fullStr | The Difficult Airway Trolley: A Narrative Review and Practical Guide |
| title_full_unstemmed | The Difficult Airway Trolley: A Narrative Review and Practical Guide |
| title_short | The Difficult Airway Trolley: A Narrative Review and Practical Guide |
| title_sort | difficult airway trolley a narrative review and practical guide |
| url | http://dx.doi.org/10.1155/2019/6780254 |
| work_keys_str_mv | AT martinfbjurstrom thedifficultairwaytrolleyanarrativereviewandpracticalguide AT mikaelbodelsson thedifficultairwaytrolleyanarrativereviewandpracticalguide AT louisewsturesson thedifficultairwaytrolleyanarrativereviewandpracticalguide AT martinfbjurstrom difficultairwaytrolleyanarrativereviewandpracticalguide AT mikaelbodelsson difficultairwaytrolleyanarrativereviewandpracticalguide AT louisewsturesson difficultairwaytrolleyanarrativereviewandpracticalguide |