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Establishment of the Difficult Airway Response Team (DART)
To improve the success rate of emergency airway management in the hospital and reduce the risk of postoperative complications and mortality, the Johns Hopkins Hospital team proposed the establishment of a Difficult Airway Response Team (DART).
Composition of the Difficult Airway Response Team (DART)
he Difficult Airway Response Team (DART) consistsof five departments: anesthesiologists, otolaryngology-head and neck surgeons, general surgeons, emergency department physicians, and full-time members of the medical safety committee.
Difficult Airway Response Team Core Components
Components of the Difficult Airway Response Team Car (DART Car)
The Difficult Airway Response Team Car is a medical device specifically designed to treat acute respiratory disorders, including airway obstruction, breathlessness, suffocation, and other emergency situations. ，It is suitable for use in hospital wards, operating rooms, emergency rooms, physical examination rooms, computer rooms, and other workplaces, and suitable for mobile rounds, mobile terminals, mobile workstations, and other purposes.
The Difficult Airway Response Team Car with intelligent systems and convenient functions can save a lot of time for hospitals and reduce the work of medical staff.
DARTcar
The DART car has three flat tiers without drawers, ensuring that various intubation tools and surgical instruments are immediately accessible. Fibreoptic storage boxes are added to the sides, and the outside of the car is covered with a custom-made cloth to ensure sterility.
The DART car requires that the bronchoscope be stored in a sterile environment.
On June 25, 2021, the FDA issued a Safety Communication document confirming the risk of cross-infection with reusable bronchoscopes. Reusable bronchoscopes introduce sterilization, prolonging bronchoscope turnaround time, increasing repair rates, and further increasing costs.FDA Recommendation: To avoid cross-contamination and reduce the cost of using a scope, disposable tracheal endoscope should be considered.
The sterile packaging of Vathin Single-use Flexible Video Bronchoscope can effectively prevent cross-infection and can be used to replace the original fiberoptic bronchoscope storage box, which saves more space. It can be used immediately after being disassembled, without the need for re-disassembly and turnover, meeting the need for immediate use and ensuring rapid response to difficult airway conditions.
Effectiveness of the Difficult Airway Response Team (DART)
From July 2008 to June 2013,From July 2008 to June 2013,Hopkins Hospital received a total of 4,738 emergency airway calls, and the DART team successfully treated 360 (8%) adult difficult airway cases. Of the 360 cases, 6% required emergency surgical airway establishment, and 17% could be transferred to the operating room for final airway management.
There were no airway management-related deaths, misoperations, or other end-stage events during these five years (there were 44 similar events involving death or disability between 2005 and 2008 before the implementation of DART, most of which resulted in high compensation).
Conclusion
The DART project brings together multidisciplinary airway experts and strengthens interdisciplinary collaboration. At the same time, by comprehensively strengthening the three aspects of operation, safety, and education, the DART project identifies and addresses issues in clinical work, optimizes airway management processes, wins valuable time for patients with emergency airways, thereby improving patient outcomes and ultimately increasing the success rate of emergency airway management across the hospital. It also provides reference and learning value for other hospitals hoping to carry out similar projects.
Difficult airway response team: a novel quality improvement program for managing hospital-wide airway emergencies.
Advantages of Vathin Single-use Flexible Video Bronchoscope
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