Review Article

The Difficult Airway Trolley: A Narrative Review and Practical Guide

Table 2

An overview of the organization and contents of the DAT.

Part of the DATContents

On topDifficult airway algorithm flowchart
Cognitive aids
Direct access phone numbers to ENT and anesthesiology/intensive care physician resources
Stopwatch
Monitor(s) for videolaryngoscope/videobronchoscope alt.
Clear directions to bring videolaryngoscope and videobronchoscope

On the sideIntroducers
Airway exchange catheter
Videobronchoscope (regular size)

Drawer 1Laryngoscope handles: standard, short
Laryngoscope blades: Macintosh 3 and 4; Miller 2 and 3
Videolaryngoscope blades (if monitor attached to the DAT)
Endotracheal tubes 5.0, 6.0, 7.0, and 8.0
Extralong endotracheal tubes 4.0, 5.0, and 6.0
Nasal endotracheal tubes 6.0 and 7.0
Stylet Lubrication gel
Syringe 5, 10 ml
Magill forceps
Adhesive tape, wide and narrow
Bite block
Aspiration cannula
Rocuronium 10 mg/ml
Preprinted labels “Rocuronium”
Cognitive aid (continuous waveform capnography)

Drawer 2Two different types of 2nd generation SADs
size 3, 4, and 5
Lubrication gel
Syringe 20 ml
Orogastric tube size 12 and 14
Adjuvants for flexible videobronchoscopic-guided intubation: endoscopy mask, breakaway oropharyngeal airway, swivel connector, spray solution lidocaine 40 mg/ml and 100 mg/ml, antifog solution, and tongue depressor

Drawer 3Facemask size 3 and 4 Neonatal facemask size 0
Oropharyngeal airways (e.g., 7, 9, 10, and 11 cm)
Nasopharyngeal airway 6.0, 7.0, and 8.0
Sugammadex 100 mg/ml, 2 ml/vial, 8 vials
Syringe 10 ml
Aspiration cannula
Preprinted labels “sugammadex”

Drawer 4Emergency cricothyrotomy catheter set
Endotracheal tube 6.0
Scalpel blade 10
Frova introducer

Drawer 5Optional, customized equipment (e.g., left-hand laryngoscope blades, equipment for management of tracheostomies, and Ventrain device)

DAT  =  difficult airway trolley; ENT = ear, nose, and throat; SAD = supraglottic airway device.