Code D Delta: a Rescue Team for Emergency Tracheal Intubation Outside Operating Room in Siriraj Hospital
Keywords:
Code D-delta activation, difficult airway management, endotracheal intubation, outside operating roomAbstract
Emergency airway management outside the operating room (OR) is particularly challenging. It is a high-risk procedure as compared to the OR setting. Inappropiate airway management leads to complications including pulmonary aspiration, dental trauma, esophageal intubatioin, prolonged recovery, unplanned ICU admission, brain damage and death. The emergency difficult airway management team of Siriraj Hospital under the name of Code D-delta activation, to response to all adult emergency difficult airways in outside OR situations is conducted to improve emergency airway management. Code D-delta team was implemented by the corporation of anesthesiologists and otolaryngologists since 2018. We have had an average 100 cases per year with the success rate of 85% at scene. The multidisciplinary team continuely improves the Code D-delta’s workflow, team member and airway tools management. Airway assessment, planning, and decision making of the team are related to the patients’outcomes. This article is aimed to hightlight the Siriraj’s rescue team for management of the emergency tracheal intubation outside the operating room.
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