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Assembling a Difficult Airway Cart/Kit, declaring "Code D", and issuing an Airway Alert Card for unanticipated
Rakesh Garg1, Syed Moied Ahmed2, Sheila Nainan Myatra3
1Professor, Department of Onco-Anaesthesiology and Palliative Medicine, Dr BRAIRCH and National Cancer Institute, All India Institute of Medical Sciences, New Delhi, India.
Abstract:
The All India Difficult Airway Association (AIDAA) guidelines provide a structured framework to ensure safe and effective airway management, with a key emphasis on preparation, timely assistance, and proper documentation. To support these essential elements, AIDAA has introduced a standardised Difficult Airway Cart (DAC), the declaration of "Code D" for summoning trained help, and a dedicated Difficult Airway Alert document for difficult airway management scenarios. Recognising that airway management extends beyond operating theatres, the proposed DAC also suggests a minimal but essential "carry kit." Timely, specific, and reasoned calls for help are encouraged through "Code D" to ensure appropriate personnel respond promptly. Post-event documentation is considered essential, not only for institutional records but also for providing an alert document for future reference. AIDAA's updated recommendations integrate these elements-DAC, Code D, and structured documentation-to improve safety, preparedness, and successful airway management.
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