Airway Cart Inventory V5

Airway Cart Inventory v5

Cart Checked by: ______Date: ______
NEW Lock Number: ______Person notified of missing items: ______

Cart to support the hospital’s Failed Airway Pathway (Drawers arranged by progression of need)

Cart Supplies by Drawer /

Par

Qty

Comment

DRAWER 1 (Top) “Adjuncts” / /
Nasopharyngeal Airway (NPA) 28, 30, 32, 34fr / 1 each size /
Oral Airway (OPA) 70, 80, 90 100 mm / 1 each size /
Shiley Tracheostomy Tube #4 / 1 / /
Shiley Tracheostomy Tube #6 / 1 / /
Tongue Blades / 4 /
ARS Needle Decompression (5cm needle for PTX) / 2 /
MAD “Long” Atomization Device (for topical Lidocaine) / 2 /
Magill Forceps (Large) / 1 /
Magill Forceps (Small) / 1 /
Berman Airway (assist flexible scope introduction) / 1 /
Cloth Tape / 2 /
ET Tube Holder / 1 /
CO2 Detector (Colorimetric) / 1 /
End Tidal CO2 Tubing (for waveform) / 2 /
Difficult Airway Bracelets (for patient if difficult airway) / 5 /
DRAWER 2 (Plan A - Basic Equipment) /
ET Tube 5.5,6.0,6.5,7.0,7.5,8.0 / 2 each size / /
Lubricant Packs / 10 / /
10 cc Syringes / 4 / /
Bougie (pocket) or (traditional Bougie on side of cart) / 4 / /
Direct Laryngoscopy
(“Single Use” LED models recommended, otherwise provide 2 LED handles) / /
Miller Blade 3 / 1 / /
Miller Blade 4 / 1 / /
Mac Blade 3 / 1 / /
Mac Blade 4 / 1 / /
Video Laryngoscopy / /
(Consider separate stand mounted Video Laryngoscope for ED, ICU)
(e.g. Glidescope, Storz, McGrath) / 1 / /
“GlideScope” Blades Size 3 / 2 / /
“GlideScope” Blades Size 4 / 2 / /
(Additional sizes….) / /
“GlideScope” Rigid Stylet / 2 / /
“Malleable” Stylet / 2 / /
Handheld Video Laryngoscope / 1 / /
(Suggested primary Video Laryngoscope for floor carts or “Backup” scope for ED, ICU.)
(e.g. King Vision, Storz, McGrath MAC, etc) / /
Backup Batteries (Handheld Scope) / 3 / /
Blade – Size 3 / 2 / /
Blade – Size 4 / 2 / /
DRAWER 3 (Plan B – “Rescue Airways” - SGA) /
Stock Both Intubating Capable Single Use “LMAs”
(Ex. AuraGain, I-Gel, AirQ) & King Airway Type Devices / /
LMA size 3 / 2 / /
LMA size 4 / 2 / /
LMA size 5 / 2 / /
30 mL Syringe / 2 / /
Inflating Pressure Gauge (ETT and SGA) / 1 / /
King Airway size 3 (LTS-D) (order with syringe) / 2 / /
King Airway size 4 (LTS-D) (order with syringe) / 2 / /
King Airway size 5 (LTS-D) (order with syringe) / 2 / /
DRAWER 4 (Plan C – Cricothyrotomy) (for ED, ICU Carts) / /
Cricothyrotomy Kits (Disposable) (recommend simple open technique) / 1 / /
Cricothyrotomy Tray (Surgical) / 1 / /
Pediatric Cricothyrotomy Needle Set / 1 / /
Curved Hemostats / 2 / /
#15 Scalpel / 2 / /
#10 Scalpel / 2 / /
DRAWER 5 – Flexible Fiberoptic Scope
(ED, ICU Carts – For stable, “Awake” intubation of known difficult airway or converting SGA to ET Tube) / /
Video Monitor (**Ambu “AScope” must be plugged in during storage) / 1 Each / /
Ambu aScope Slim 3.8/1.2 / 1 / /
Ambu aScope 5.0/2.2 / 1 / /
“Aintree” Catheter
(For flexible scope placement of ET Tube through the LMA or King Airway) / 1 / /
SIDE of CART (Optional side mounted tube for Bougies & other long devices) / /
15 F Bougie / 4 / /
“other” / /

Design: The cart is designed to be a HIGH RELIABILTY system to help assure necessary critical equipment is readily availability at the bedside for EVERY intubation. The cart should be immediately resupplied from a department’s central repository of stock. This is an “Adult” Airway Cart – Assumes separate fully stocked system for pediatric patients (e.g. Broselow Cart - including LMA and video laryngoscopy blades).

Discloser: The Safer Airway Cart Stocking List was developed without manufacturing influence. Listings do not represent an endorsement of specific products. Customization to meet local practice is recommended. See the equipment section of www.SaferAirway.org for further details of cart and equipment recommendations.

Acknowledgements: EMA Safety Leadership Group, ASA Equipment Recommendations, Difficult Airway Society, Airway World (The Airway Course), Airway Cam (Levitan)