{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T18:38:30Z","timestamp":1778351910709,"version":"3.51.4"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T00:00:00Z","timestamp":1694476800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Intrahospital transport is associated with adverse events. This challenge is amplified during airway management. Although difficult airway response teams have been described, little attention has been paid to patient transport during difficult airway management versus the alternative of managing patient airways without moving the patient. This is especially needed in a 22\u2010floor vertical hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Hypothesis<\/jats:title><jats:p>Development of a rapid difficult airway response team and an associated difficult airway cart will allow for the ability to manage difficult airways in the patient's primary location.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective chart review of all rapid difficult airway response activations from December 18, 2019 to December 31, 2021 was performed to determine the number of airways secured in the patient's primary location (primary outcome). Secondary outcomes included length of time until airway securement, airway device used, number of attempts, complications, use of front of neck access, and mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 96 rapid difficult airway response activations in a 2\u2010year period, with 18 activations deemed inappropriate. Of the 78 indicated rapid difficult airway response deployments, all activations resulted in a secure airway, and 76 (97.4%) of cases had an airway secured in the patient's primary location. The mean time to airway securement was 17.1\u2009min (standard deviation 18.8\u2009min). The most common methods of airway securement were direct laryngoscopy (42.3%, 33\/78) and video laryngoscopy (29.5%, 23\/78). The mean number of attempts by the rapid difficult airway response team was 1.4. There were no documented cases requiring front of neck access. The Cormack\u2010Lehane airway grade at time of intubation was I\u2010II in 83.3% (65\/78) of activations. Rapid difficult airway response activation resulted in 16 cases of cardiac arrest and 4 patient deaths within 48\u2009h.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A rapid difficult airway response team allows a large majority of patients' airways to be managed and secured in the patient's primary hospital location. Future directions include reducing time to airway securement and identifying factors associated with cardiac arrest.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.14757","type":"journal-article","created":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T07:11:55Z","timestamp":1694502715000},"page":"60-67","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["An analysis of a new rapid difficult airway response team in a vertically built children's hospital"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0670-2658","authenticated-orcid":false,"given":"Matthew J.","family":"Rowland","sequence":"first","affiliation":[{"name":"Department of Anesthesiology Ann and Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"},{"name":"Department of Critical Care Medicine Ann and Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inbal","family":"Hazkani","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Ann and Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Becerra","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine Ann and Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1657-0353","authenticated-orcid":false,"given":"Narasimhan","family":"Jagannathan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Phoenix Children's Hospital  Phoenix Arizona USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Ida","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Ann and Robert H. Lurie Children's Hospital of Chicago  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/J.1460-9592.2012.03813.X"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/S00134-014-3407-4"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/PAN.12144"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/PAN.13784"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(15)00508-1"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/HPEDS.2018-0226"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.7759\/CUREUS.16118"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/PAN.12356"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817719400"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000002073"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/PAN.12625"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/S13054-016-1183-Y"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/193758670700100113"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.4037\/AJCC2011478"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/CNQ.0000000000000229"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JPEDS.2021.08.074"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2015.1072158"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/S00134-004-2177-9"},{"issue":"4","key":"e_1_2_10_20_1","first-page":"325","article-title":"Study on the incidence of adverse events during intra\u2010hospital transfer of critical care patients from emergency department","volume":"75","author":"Mohd Ismail MR","year":"2020","journal-title":"Med J Malaysia"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1055\/S-0038-1624576"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1046\/J.1365-2044.1998.00605.X"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001204"}],"container-title":["Pediatric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pan.14757","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T05:00:30Z","timestamp":1704430830000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pan.14757"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,12]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1111\/pan.14757"],"URL":"https:\/\/doi.org\/10.1111\/pan.14757","archive":["Portico"],"relation":{},"ISSN":["1155-5645","1460-9592"],"issn-type":[{"value":"1155-5645","type":"print"},{"value":"1460-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,12]]},"assertion":[{"value":"2023-01-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}