Difficult Airway Society 2015 intubating Guidelines

6 Apr

DAS Difficult Airway Society

DAS (Difficult Airway Society) released a draft of its intubating Guidelines for evaluation and comment before definitive update.

Previuos 2007 Guidelines are available here DAS Intubation Guidelines

This is the link to download the Update (April 2015) on DAS intubation guidelines 2015

What’s new on this draft:

Plan A (face mask ventilation and intubation)

  • Preoxygeneation is now included (to mantain even during the intubation, O2 nasal cannula).
  • VL is considered as standard approach (same leve than DL).
  • Cricoid pressure is no longer mentioned and replaced with BURP.
  • BURP has to be released if difficult intubation(laryngoscopy is predicted.

Plan B (Oxygenation/ventilation with Supraglottic Airway Devices)

  • ILMA is no longer mentioned as preferred device
  • 2nd generation SAD is suggested as default devices

Plan C (Think and revert to face mask oxygenation/ventilation before surgical approach)

  • No main changes
  • Focus on reverting neuromuscolar blockade action

Plan D (surgical approach)

  • Scalpel Bougie Tube (finger????) technique suggested as standard approach
  • Cannula techniques only for skilled operators

The authors invite all to send suggestions and comments to intubation@das.uk.com.

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