An analysis of a new rapid difficult airway response team in a vertically built children's hospital
Authors' conclusion
A rapid difficult airway response team allows a large majority of patients' airways to be managed and secured in the patient's primary hospital location.
Study context
- Population
- Rapid difficult airway response activations in a 22-floor vertical children's hospital, December 18, 2019 to December 31, 202178 indicated activations
- Participants
- 96 participants
- Outcome
- Number of airways secured in the patient's primary location
Methodological detailssingle-group, vertically built children's hospital
- Single-group
- Vertically built children's hospital
Main finding
As reported in the abstract
Airway secured in patient's primary location
Rapid difficult airway response team
97.4%
76 of 78
Observational data: associations, not effects.
Secondary outcomes
Time to airway securement
- Mean time to airway securement, min (SD 18.8 min)
- 17.1
Airway device used
- Direct laryngoscopy (33/78)
- 42.3%
- Video laryngoscopy (23/78)
- 29.5%
Number of attempts
- Mean number of attempts by the team
- 1.4
Front of neck access
- No documented cases requiring front of neck access
Cormack-Lehane grade I-II at intubation
- Grade I-II (65/78 activations)
- 83.3%
Safety
| Outcome | Values |
|---|---|
| Cardiac arrest | Rapid difficult airway response team 16 events |
Original publication
An analysis of a new rapid difficult airway response team in a vertically built children's hospital. Paediatr Anaesth. Published 12 September 2023. doi:10.
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