The hospital difficult airway team: experience and implications for patient care

Ir J Med Sci. 2021 Nov;190(4):1561-1563. doi: 10.1007/s11845-020-02471-5. Epub 2021 Jan 22.

Abstract

The difficult airway involves the complex interaction between patient factors, the clinical setting and the practitioner's skills (Apfelbaum in Anesthesiology 118(2):251-70, 2013 and Mark et al. in Anesth Analg 121(1):127-139, 2015). It can also be a result of preparedness and system failures. Our institution developed a protocol to enhance emergency airway management in settings outside of the operating theatre-the difficult airway (DA) team. The aims of this report are to perform a retrospective review to describe the patient profiles as well as our difficult airway code workflow, and to identify preliminary patterns within DAC activations over an 18-month period (September 2013 to November 2015) in a tertiary university hospital. We believe that these findings may aid institutions in establishing a difficult airway protocol or refining existing airway code workflows. Institutional board approval was granted for medical record review.

Keywords: Airway; Critical care; Difficult airway; Difficult airway society; Emergency; Intubations; Mcgrath; Tracheostomy; Video laryngoscope.

MeSH terms

  • Airway Management*
  • Emergency Service, Hospital*
  • Humans
  • Intubation, Intratracheal
  • Laryngoscopy
  • Patient Care
  • Retrospective Studies
  • Tertiary Care Centers