The Adult Difficult Intravenous Access (DIVA) Cognitive Aid: An Evidence-Based Cognitive Aid Prototype for Difficult Peripheral Venous Access.

Difficult intravenous access (DIVA) is common, with imperfect solutions. Cognitive aids are widespread in anaesthesia; however, a standard DIVA cognitive aid is lacking. This article describes a cognitive aid for DIVA.

Micro-Stick to Rapid Infusion Catheter (RIC): Ultrasound-Guided Rapid Infusion Catheter Insertion Using a Micropuncture Kit.

Ultrasound-guidance improves success for difficult intravenous access (DIVA), particularly when difficulty is anticipated. However, insertion of a wide-bore sheath, such as a rapid infusion catheter, is likely to pose additional problems and unique challenges in this context, despite ultrasound guidance. With the aid of a video clinical simulation, this article describes an ultrasound-guided technique for inserting a proprietary rapid infusion catheter (RIC) or similar wide-bore sheath using the micropuncture kit.

Bronchoscope-Guided Airway Rescue via an I-gel™ for Haematoma-Induced Airway Obstruction Following Anterior Cervical Spine Surgery.

Airway obstruction requiring emergency airway rescue is an uncommon yet potentially fatal complication following anterior cervical discectomy and fusion. This report describes rapid clinical deterioration after anterior cervical discectomy and fusion despite haematoma evacuation. After failing to secure the airway with awake bronchoscope-guided tracheal intubation and video-laryngoscopy, an I-gel™ supraglottic airway was inserted, and alveolar oxygenation was restored.