PS56 2012: Difficult airway equipment

 

List:

·         Essential equipment

·         Supplementary equipment

·         Grab bag

·         Storage

·         Upkeep

 

Some motherhood statements:

·         The only difficult airway is the unanticipated difficult airway

·         Difficult intubation = difficult extubation

·         Oxygenate + ventilate + don’t mutilate

 

Essential equipment (within 1 minute)

·         OPA 3-6

·         NPA 6-8

·         Macintosh blade 3-4

·         Alternative blade e.g. Miller

·         Regular and stubby handle

·         Bougie

·         Stylet

·         Intubating LMA 3-5 (e.g. Fastrach)

·         Specialised ETTs (e.g. re-inforced, MLT)

·         Long airway exchange catheter

·         LMA 3-5 able to admit exchange catheter

·         Scalpel cricothyroidotomy kit

·         Needle cricothyroidotomy kit

·         Oesophageal intubation detector

·         Capnography

·         (Paediatrics: same but different sizes)

 

Supplementary equipment (within 5 minutes)

·         Non-standard direct laryngoscopes (e.g. straight, McCoy)

·         Video laryngoscopes

·         Optical stylets

·         Light wand

·         Retrograde intubation kit

·         Rigid ventilating bronchoscope

·         Flexible intubating bronchoscopes

·         Local anaesthetic and vasoconstrictor

 

Grab-bag:

·         ILMA 3-5

·         PA 3-6

·         NPA 6-8

·         ETT introducer

·         Stylets

·         ETT 5-6

·         Macintosh blade 2-4

·         Straight blade 3

·         Two laryngoscope handles

·         Bronchoscopy swivel connector

·         Oesophageal intubation detector

·         Capnography

·         Needle and scalpel cricothyroidotomy kits

 

Storage:

·         Dedicated and labeled trolley

·         Breakable seal

·         Contents listed

·         Not overstocked

·         Easy access

·         Everyone shown where it is

·         Movements tracked

 

Upkeep:

·         Dedicated anaesthetist responsible for kit

·         Expert advice for any changes

·         Stock checked daily

·         Batteries and expiry checked 3 monthly

 

Feedback welcome at ketaminenightmares@gmail.com