PS56 2021: Difficult airway equipment

DAT:

Design

· Standardised throughout the hospital

· Easily identified

· Light weight

· Low centre of gravity

· High quality wheels

· Large working space

· Easily cleaned

Components

· 4-7 soft close drawers

· Vertical containers for long things

· Large working space on top

· Picture and word labelling

Location

· Specific spot

· Signposted

· Within 1 minute of wherever needed

1.ETT	· Laryngoscope handles – standard, stubby · Spare batteries · Laryngoscope blades: MAC 3&4, ±others if in use · Videolaryngoscope blades: normal and hyperangulated · Normal ETT 5-8 · MLTs 5-6 · Stylets – rigid and malleable · Lubrication gel · Securement – tape and trachie tie, scissors · Magill’s forceps · 10mL and 20mL syringes
2.LMA	· 1^st generation 3,4,5 · 2^nd generation 3,4,5 – whatever is in use · ±iLMA · NGT 12Fr, 14Fr · Lubrication gel · 20mL syringe
3.Mask	· Small, medium, large · Neonatal facemask for neck stomas · OPA 7-11 · NPA 6-8
4.FONA	· Scalpel + bougie + 6.0 ETT · 14g + syringe + wire + insufflation device
Vertical	· Bougies: gum elastic, sour worm · Exchange catheters: 11Fr, 14Fr
Paperwork	· Vortex cognitive aids · Emergency phone numbers · Difficult airway alert letter
Must have nearby	· Capnography · Sugammadex · Video laryngoscope · Flexible bronchoscope + paraphernalia · High flow nasal prongs

· Facemasks: light weight, transparent, minimal dead space

· Self-inflating resuscitation bag: PEEP valve, bacterial/viral filters

· SGA: evolution = NGT port, higher seal pressure, wider arway channel

· Exchange catheters: you must understand the risk i.e. perforation

· FONA: do whichever you feel trained to do

· Intubating catheter e.g. Aintree

· Spare battery

· Mouth guard

· Bronchoscopy swivel connectors

· Anti-fog solution

· Local anaesthetic (Spray, ampoule, jelly, MAD)

· Nasal vasoconstrictor

· Bite block / oral intubating airway

· NPA

· ETTs

· Lubricant

· Gauze pads