The Difficult Airway App

The Difficult Airway App

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Version History of The Difficult Airway App

3.2

May 23, 2024

Improved navigation for difficult airway prediction. Delivers 7Ps for Intubation checklist; enhanced adult and pediatric RSIs; improved dosage calculator to bring up to date with current recommendations; updated airway algorithms.

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3.1

August 5, 2022

Improved User Experience (UX) on the Welcome Screens and the App Registration Form (optional).

3.0

June 29, 2022

The overall look of The Difficult Airway App has been refreshed with a new color scheme and updated navigation.  There are minor changes in the SCh Hyperkalemia, Tips & Pearls, Adult 7Ps, Pediatric 7Ps, and Additional Resources sections.  A new Acronym Section has been added to define the acronyms used in the app. On the Adult Patient RSI Calculator, the following adjustments have been made: - Midazolam will no longer be recommended as an Induction Agent. - All induction agents are now tagged as “Total Body Weight” drugs unless the patient is obese or morbidly obese, then the induction agents are tagged as “Lean Body Weight” drugs. - Refined dosing for Propofol based on body habitus. - Ketamine dosing has been decreased for hypotension. - The base dose for Rocuronium has been changed from 1 mg/kg to 1.5 mg/kg for NMBA dosing recommendations.

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2.3

August 8, 2018

This app has been updated by Apple to display the Apple Watch app icon. On the adult RSI drug dosing calculator, the highest weight class is now 150 kg (instead of 150+ kg). The doses provided when this option is chosen are most appropriate for patients who weigh 150 kg. For weights greater than 150 kg, please refer to the base dosing schedule found in the “About Calculator” section of the Adult RSI Calculator. Lean body weight should be used for induction agent dosing. See also The Walls Manual of Emergency Airway Management, 5e (Chapter 20). On the Pediatric Patient RSI Chart, the size of the ET Tube in the Orange Zone has changed from 6.0 cuff to 5.5 cuff. On the Pediatric Patient RSI Chart, the size of the ET Tube in the Green Zone has changed from 6.5 cuff to 6.0 cuff. Links in the Additional Resources section were updated to point to our newly redesigned website (www.theairwaysite.com).

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2.2

February 15, 2018

This revision introduces the new EMS Difficult Airway Algorithm. This algorithm is modeled after the original Difficult Airway Algorithm but is tailored to the EMS environment. It incorporates predicted difficult airway and experienced difficult airway situations with modifications to account for transport times, local protocols, preference and medical direction. In the Pediatric RSI section, the stylet size in the Purple Zone was changed from 10 F to 6 F.

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2.1

April 25, 2017

This revision (along with the previous one) brings The Difficult Airway App™ fully in line with the Walls Manual of Emergency Airway Management, 5th Edition (Brown CA, Sakles JC, Mick NW eds., 2017). The changes in this revision include: •A minor revision to the Difficult Airway Algorithm •Removal of vecuronium from the NMBA list in the adult drug dosing calculator •Clarification that induction agent dosing for “thin to average patients” is based on total body weight •Improvement to Adult RSI navigation •The addition of “Flush Rate O₂” to the 7Ps of RSI (Adult) •The addition of “Consider shoulder roll for infants < 6 months” to the 7Ps of RSI (Pediatric) •Minor edits to “Tips and Pearls” •Two new airway anatomy illustrations in Educational Resources

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2.0

June 13, 2016

June 10, 2016 Updated difficult airway mnemonics and "7Ps of RSI" to match the new material being taught in The Difficult Airway Course: Emergency™. Evidence-based simplification of adult drug dosing calculator. Other minor revisions.

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1.5

June 12, 2012

Updated algorithms and mnemonics to match the Manual of Emergency Airway Management (4th Edition). Improved organization, easier navigation, new "About Calculator" section and other content enhancements.

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1.0.2

October 12, 2011

Enhancements to adult RSI section.

1.0.1

June 17, 2011

updated EULA

Price History of The Difficult Airway App

Description of The Difficult Airway App

The Difficult Airway App (v.3.2) The Difficult Airway App™ is an essential tool for clinicians who manage emergency airways in any setting: the ED, ICU, in-patient unit or the many EMS practice environments. THE RIGHT DRUGS, THE RIGHT DOSES, THE RIGHT WAY! This app rapidly and easily selects the right drugs for RSI, automatically adjusting for obesity and hemodynamics. Pediatric dosing and equipment selection is a snap using the Broselow-Luten color system or the child's estimated weight. Stay out of trouble! The Difficult Airway App™ guides the user quickly and easily through important algorithms, predictors of the difficult airway, and the step-by-step approach to RSI taught in The Difficult Airway Course: Emergency™. The Difficult Airway App™ features: EASY, YET SOPHISTICATED ADULT AND PEDIATRIC DRUG DOSING • For adult dosing, a few simple clicks bring you to recommended doses that incorporate patient weight, body habitus and hemodynamics. • The pediatric drug dosing function incorporates the color-coded system created by James Broselow, MD and Robert C. Luten, MD for rapid, safe management of pediatric airway cases. • The option to customize your formulary means that only the drugs you use will appear in the recommendations. DECISION-MAKING SUPPORT • Straight-forward algorithms allow you to quickly determine the best approach to your patient’s airway. • Easy mnemonics walk you through predictors of a difficult airway, including difficult laryngoscopy (LEMON), difficult BMV (ROMAN), difficult extraglottic device use (RODS) and difficult cricothyrotomy (SMART). • Pearls of wisdom, based on evidence and expert opinion, are offered throughout. RAPID SEQUENCE INTUBATION • The 7 – Ps of RSI: a step-by-step guide for adult and pediatric patients. • Adult and pediatric RSI drug dosing. EDUCATIONAL RESOURCES • Richly detailed illustrations of the airway anatomy. • Links to information about The Difficult Airway Courses™. Created by Ron M. Walls, MD, Michael F. Murphy, MD and Robert C. Luten, MD. With significant updates by Calvin A. Brown III, MD.
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The Difficult Airway App: FAQ

Does The Difficult Airway App work on iPads?

Yes, The Difficult Airway App works on iPads.

Who is behind the development of the The Difficult Airway App app?

Airway Management Education Center is the developer of the app.

What is the minimum iOS requirement for The Difficult Airway App to function properly?

The app needs iOS 13.0 or later to function properly.

What do users think of the app?

The rating of 4.1 out of 5 that The Difficult Airway App has received from users is outstanding.

What category of app is The Difficult Airway App?

The The Difficult Airway App App Relates To The Medical Genre.

What’s the current version of the The Difficult Airway App app?

The current version of The Difficult Airway App is 3.2.

When was the last update for The Difficult Airway App released?

September 28, 2024 is the date of the latest The Difficult Airway App update.

When was The Difficult Airway App introduced to the market?

The Difficult Airway App was introduced to the market on February 5, 2023.

What is the recommended age for The Difficult Airway App?

Contains nothing objectionable, appropriate for all ages.

What are the languages offered by the The Difficult Airway App app?

The Difficult Airway App can be used in American English.

Does Apple Arcade offer The Difficult Airway App as part of its collection?

No, The Difficult Airway App is not featured on Apple Arcade.

Can I make in-app purchases within The Difficult Airway App?

No, The Difficult Airway App does not include options for in-app purchases.

Is The Difficult Airway App specifically engineered for Apple Vision Pro compatibility?

Sorry, The Difficult Airway App is not specifically engineered for compatibility with Apple Vision Pro.

Are there commercial ads in The Difficult Airway App?

No, there are no commercial ads in The Difficult Airway App.

Screenshots of The Difficult Airway App

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Reviews of The Difficult Airway App

Leave a Review The Difficult Airway App
  • Not up to date

    The course materials have been updated with new algorithms but as of the date of this review the last DAC app update is 9 months ago. The app may have been abandoned by the authors in favor of the course books and physical cards.
  • Needs a chart of medications

    Really needs to have an easy to access chart for every medication with mechanisms of action, recommended dose range per kg of weight, common side effects. Just a table which could be accessed for review without having a particular patient in mind. Would use the app much more often and recommend to other physicians/residents who would be more likely to download the app since it would be a single source for all there is to know on intubation. Will change the review if this changes.
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  • No dosing info on VECURONIUM!!!!!

    Had a difficult airway one night. Couldn’t use succinylcholine choline. Only alternative was vecuronium at my hospital institution. App does NOT give dosing info on vecuronium in the algorithm, only gives info on rocuroium. Pharmacy was not helpful on the dosing either. This app failed to assist me in time of need!
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