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Evidence Guide: HLTANA003 - Assist with airway management

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTANA003 - Assist with airway management

What evidence can you provide to prove your understanding of each of the following citeria?

Elements define the essential outcomes

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Select, check and prepare airway management equipment in accordance with manufacturer’s guidelines

  1. Review information about client and type of surgical procedure and anticipate type and calculate size of airway management equipment
  2. Identify and respond to situations where anaesthetist needs to confirm selection
  3. Conduct pre-use safety check of selected equipment
  4. Diagnose airway management equipment faults and rectify within scope of role
  5. Prepare and position equipment for use following safe manual handling techniques
Review information about client and type of surgical procedure and anticipate type and calculate size of airway management equipment

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Identify and respond to situations where anaesthetist needs to confirm selection

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Conduct pre-use safety check of selected equipment

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Diagnose airway management equipment faults and rectify within scope of role

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Prepare and position equipment for use following safe manual handling techniques

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Perform bag and mask ventilation

  1. Position patient for bag/mask ventilation
  2. Confirm adequate ventilation and rectify any issues preventing adequate ventilation
  3. Insert oropharyngeal and/or nasopharyngeal airway if indicated
  4. In consultation with the anaesthetist determine when to cease bag/mask ventilation
Position patient for bag/mask ventilation

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Confirm adequate ventilation and rectify any issues preventing adequate ventilation

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Insert oropharyngeal and/or nasopharyngeal airway if indicated

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

In consultation with the anaesthetist determine when to cease bag/mask ventilation

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist with insertion of supraglottic airway devices (SAD)

  1. Select, conduct pre-use check and prepare (SAD)
  2. Anticipate needs of the anaesthetist
  3. Assist with positioning of client
  4. Provide assistance during insertion
  5. Inflate cuff of SAD in accordance with manufacturer’s guidelines, clinical indications and anaesthetist’s directions
  6. Secure airway into position when directed
Select, conduct pre-use check and prepare (SAD)

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Anticipate needs of the anaesthetist

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist with positioning of client

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Provide assistance during insertion

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Inflate cuff of SAD in accordance with manufacturer’s guidelines, clinical indications and anaesthetist’s directions

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Secure airway into position when directed

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist with insertion of endotracheal, orally or nasally and/or endobronchial tubes

  1. Select, conduct pre-use check and prepare endotracheal or endobronchial tube and other intubation equipment
  2. Assist with positioning of client for intubation
  3. Anticipate needs of the anaesthetist
  4. Provide assistance with insertion including use of stylet, bougie and/or cricoid manipulation
  5. If applicable, inflate cuff according to industry standard.
  6. When indicated, assist with insertion of throat pack including appropriate documentation of insertion/removal
  7. If directed, use a stethoscope to identify breathing sounds
  8. Secure airway into position when directed
Select, conduct pre-use check and prepare endotracheal or endobronchial tube and other intubation equipment

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist with positioning of client for intubation

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Anticipate needs of the anaesthetist

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Provide assistance with insertion including use of stylet, bougie and/or cricoid manipulation

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

If applicable, inflate cuff according to industry standard.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

When indicated, assist with insertion of throat pack including appropriate documentation of insertion/removal

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

If directed, use a stethoscope to identify breathing sounds

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Secure airway into position when directed

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist with rapid sequence induction

  1. Determine rationale for rapid sequence induction
  2. Select, conduct pre-use check and prepare equipment for rapid sequence induction
  3. Inform client of procedures to be completed by the anaesthetic technician
  4. Apply cricoid pressure , monitor patient for vomiting and remove pressure when instructed by the anaesthetist
  5. Assist with insertion of endotracheal tube
  6. Secure airway into position if directed.
Determine rationale for rapid sequence induction

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Select, conduct pre-use check and prepare equipment for rapid sequence induction

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Inform client of procedures to be completed by the anaesthetic technician

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Apply cricoid pressure , monitor patient for vomiting and remove pressure when instructed by the anaesthetist

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist with insertion of endotracheal tube

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Secure airway into position if directed.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist with predicted difficult airway/intubation

  1. Discuss and confirm equipment preparation, intubation plan and contingencies with anaesthetist
  2. Select, undertake pre-use safety checks and prepare required equipment
  3. Inform client of tasks to be undertaken by anaesthetic technician.
  4. Anticipate anaesthetist needs in patient preparation and assist throughout intubation
  5. When appropriate, return clean equipment to storage location and send used equipment for processing.
  6. Debrief with anaesthetic team on outcome of intubation.
Discuss and confirm equipment preparation, intubation plan and contingencies with anaesthetist

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Select, undertake pre-use safety checks and prepare required equipment

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Inform client of tasks to be undertaken by anaesthetic technician.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Anticipate anaesthetist needs in patient preparation and assist throughout intubation

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

When appropriate, return clean equipment to storage location and send used equipment for processing.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Debrief with anaesthetic team on outcome of intubation.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist with connection/ disconnection of client to/from ventilation equipment

  1. Select and prepare ventilation equipment and materials
  2. Set ventilation modes and parameters and ensure warning devices are switched on, tested and are registering that the equipment is safe prior to use with client
  3. Observe equipment whilst in use and take action immediately if fault develops to avoid danger to equipment, clients and staff
  4. Follow established procedures to rectify faulty equipment
  5. Check client’s physiological parameters when required or as directed by anaesthetist
  6. Identify, validate and report deviations from acceptable limits of physiological parameters to the medical practitioner
  7. Report signs of client discomfort, distress or adverse reaction to the anaesthetist
Select and prepare ventilation equipment and materials

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Set ventilation modes and parameters and ensure warning devices are switched on, tested and are registering that the equipment is safe prior to use with client

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Observe equipment whilst in use and take action immediately if fault develops to avoid danger to equipment, clients and staff

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Follow established procedures to rectify faulty equipment

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Check client’s physiological parameters when required or as directed by anaesthetist

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Identify, validate and report deviations from acceptable limits of physiological parameters to the medical practitioner

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Report signs of client discomfort, distress or adverse reaction to the anaesthetist

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist in management of client’s airway during emergence phase

  1. Assist anaesthetist with client positioning to facilitate management of client’s airway
  2. Assist anaesthetist to optimise oxygenation of client
  3. Assist with oral/nasal/endotracheal/SAD suctioning.
  4. Assist anaesthetist as required during SAD removal or extubation and be prepared for possible reintubation
  5. Provide reassurance to the client and take action to limit injury
  6. Observe client’s condition throughout the procedure and take action when required or at the direction of the anaesthetist
Assist anaesthetist with client positioning to facilitate management of client’s airway

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist anaesthetist to optimise oxygenation of client

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist with oral/nasal/endotracheal/SAD suctioning.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist anaesthetist as required during SAD removal or extubation and be prepared for possible reintubation

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Provide reassurance to the client and take action to limit injury

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Observe client’s condition throughout the procedure and take action when required or at the direction of the anaesthetist

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Select, check and prepare airway management equipment in accordance with manufacturer’s guidelines

  1. Review information about client and type of surgical procedure and anticipate type and calculate size of airway management equipment
  2. Identify and respond to situations where anaesthetist needs to confirm selection
  3. Conduct pre-use safety check of selected equipment
  4. Diagnose airway management equipment faults and rectify within scope of role
  5. Prepare and position equipment for use following safe manual handling techniques
Review information about client and type of surgical procedure and anticipate type and calculate size of airway management equipment

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Identify and respond to situations where anaesthetist needs to confirm selection

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Conduct pre-use safety check of selected equipment

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Diagnose airway management equipment faults and rectify within scope of role

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Prepare and position equipment for use following safe manual handling techniques

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist in management of client’s airway during emergence phase

  1. Assist anaesthetist with client positioning to facilitate management of client’s airway
  2. Assist anaesthetist to optimise oxygenation of client
  3. Assist with oral/nasal/endotracheal/SAD suctioning.
  4. Assist anaesthetist as required during SAD removal or extubation and be prepared for possible reintubation
  5. Provide reassurance to the client and take action to limit injury
  6. Observe client’s condition throughout the procedure and take action when required or at the direction of the anaesthetist
Assist anaesthetist with client positioning to facilitate management of client’s airway

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist anaesthetist to optimise oxygenation of client

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist with oral/nasal/endotracheal/SAD suctioning.

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assist anaesthetist as required during SAD removal or extubation and be prepared for possible reintubation

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Provide reassurance to the client and take action to limit injury

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Observe client’s condition throughout the procedure and take action when required or at the direction of the anaesthetist

Completed
Date:

Teacher:
Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element

1. Select, check and prepare airway management equipment in accordance with manufacturer’s guidelines

1.1 Review information about client and type of surgical procedure and anticipate type and calculate size of airway management equipment

1.2 Identify and respond to situations where anaesthetist needs to confirm selection

1.3 Conduct pre-use safety check of selected equipment

1.4 Diagnose airway management equipment faults and rectify within scope of role

1.5 Prepare and position equipment for use following safe manual handling techniques

2. Perform bag and mask ventilation

2.1 Position patient for bag/mask ventilation

2.2 Confirm adequate ventilation and rectify any issues preventing adequate ventilation

2.3 Insert oropharyngeal and/or nasopharyngeal airway if indicated

2.4 In consultation with the anaesthetist determine when to cease bag/mask ventilation

3. Assist with insertion of supraglottic airway devices (SAD)

3.1 Select, conduct pre-use check and prepare (SAD)

3.2 Anticipate needs of the anaesthetist

3.3 Assist with positioning of client

3.4 Provide assistance during insertion

3.5 Inflate cuff of SAD in accordance with manufacturer’s guidelines, clinical indications and anaesthetist’s directions

3.6 Secure airway into position when directed

4. Assist with insertion of endotracheal, orally or nasally and/or endobronchial tubes

4.1 Select, conduct pre-use check and prepare endotracheal or endobronchial tube and other intubation equipment

4.2 Assist with positioning of client for intubation

4.3 Anticipate needs of the anaesthetist

4.4 Provide assistance with insertion including use of stylet, bougie and/or cricoid manipulation

4.5 If applicable, inflate cuff according to industry standard.

4.6 When indicated, assist with insertion of throat pack including appropriate documentation of insertion/removal

4.7 If directed, use a stethoscope to identify breathing sounds

4.8 Secure airway into position when directed

5. Assist with rapid sequence induction

5.1 Determine rationale for rapid sequence induction

5.2 Select, conduct pre-use check and prepare equipment for rapid sequence induction

5.3 Inform client of procedures to be completed by the anaesthetic technician

5.4 Apply cricoid pressure , monitor patient for vomiting and remove pressure when instructed by the anaesthetist

5.5 Assist with insertion of endotracheal tube

5.6 Secure airway into position if directed.

6. Assist with predicted difficult airway/intubation

6.1 Discuss and confirm equipment preparation, intubation plan and contingencies with anaesthetist

6.2 Select, undertake pre-use safety checks and prepare required equipment

6.3 Inform client of tasks to be undertaken by anaesthetic technician.

6.4 Anticipate anaesthetist needs in patient preparation and assist throughout intubation

6.5 When appropriate, return clean equipment to storage location and send used equipment for processing.

6.6 Debrief with anaesthetic team on outcome of intubation.

7. Assist with connection/ disconnection of client to/from ventilation equipment

7.1 Select and prepare ventilation equipment and materials

7.2 Set ventilation modes and parameters and ensure warning devices are switched on, tested and are registering that the equipment is safe prior to use with client

7.3 Observe equipment whilst in use and take action immediately if fault develops to avoid danger to equipment, clients and staff

7.4 Follow established procedures to rectify faulty equipment

7.5 Check client’s physiological parameters when required or as directed by anaesthetist

7.6 Identify, validate and report deviations from acceptable limits of physiological parameters to the medical practitioner

7.7 Report signs of client discomfort, distress or adverse reaction to the anaesthetist

8. Assist in management of client’s airway during emergence phase

8.1 Assist anaesthetist with client positioning to facilitate management of client’s airway

8.2 Assist anaesthetist to optimise oxygenation of client

8.3 Assist with oral/nasal/endotracheal/SAD suctioning.

8.4 Assist anaesthetist as required during SAD removal or extubation and be prepared for possible reintubation

8.5 Provide reassurance to the client and take action to limit injury

8.6 Observe client’s condition throughout the procedure and take action when required or at the direction of the anaesthetist

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element

1. Select, check and prepare airway management equipment in accordance with manufacturer’s guidelines

1.1 Review information about client and type of surgical procedure and anticipate type and calculate size of airway management equipment

1.2 Identify and respond to situations where anaesthetist needs to confirm selection

1.3 Conduct pre-use safety check of selected equipment

1.4 Diagnose airway management equipment faults and rectify within scope of role

1.5 Prepare and position equipment for use following safe manual handling techniques

2. Perform bag and mask ventilation

2.1 Position patient for bag/mask ventilation

2.2 Confirm adequate ventilation and rectify any issues preventing adequate ventilation

2.3 Insert oropharyngeal and/or nasopharyngeal airway if indicated

2.4 In consultation with the anaesthetist determine when to cease bag/mask ventilation

3. Assist with insertion of supraglottic airway devices (SAD)

3.1 Select, conduct pre-use check and prepare (SAD)

3.2 Anticipate needs of the anaesthetist

3.3 Assist with positioning of client

3.4 Provide assistance during insertion

3.5 Inflate cuff of SAD in accordance with manufacturer’s guidelines, clinical indications and anaesthetist’s directions

3.6 Secure airway into position when directed

4. Assist with insertion of endotracheal, orally or nasally and/or endobronchial tubes

4.1 Select, conduct pre-use check and prepare endotracheal or endobronchial tube and other intubation equipment

4.2 Assist with positioning of client for intubation

4.3 Anticipate needs of the anaesthetist

4.4 Provide assistance with insertion including use of stylet, bougie and/or cricoid manipulation

4.5 If applicable, inflate cuff according to industry standard.

4.6 When indicated, assist with insertion of throat pack including appropriate documentation of insertion/removal

4.7 If directed, use a stethoscope to identify breathing sounds

4.8 Secure airway into position when directed

5. Assist with rapid sequence induction

5.1 Determine rationale for rapid sequence induction

5.2 Select, conduct pre-use check and prepare equipment for rapid sequence induction

5.3 Inform client of procedures to be completed by the anaesthetic technician

5.4 Apply cricoid pressure , monitor patient for vomiting and remove pressure when instructed by the anaesthetist

5.5 Assist with insertion of endotracheal tube

5.6 Secure airway into position if directed.

6. Assist with predicted difficult airway/intubation

6.1 Discuss and confirm equipment preparation, intubation plan and contingencies with anaesthetist

6.2 Select, undertake pre-use safety checks and prepare required equipment

6.3 Inform client of tasks to be undertaken by anaesthetic technician.

6.4 Anticipate anaesthetist needs in patient preparation and assist throughout intubation

6.5 When appropriate, return clean equipment to storage location and send used equipment for processing.

6.6 Debrief with anaesthetic team on outcome of intubation.

7. Assist with connection/ disconnection of client to/from ventilation equipment

7.1 Select and prepare ventilation equipment and materials

7.2 Set ventilation modes and parameters and ensure warning devices are switched on, tested and are registering that the equipment is safe prior to use with client

7.3 Observe equipment whilst in use and take action immediately if fault develops to avoid danger to equipment, clients and staff

7.4 Follow established procedures to rectify faulty equipment

7.5 Check client’s physiological parameters when required or as directed by anaesthetist

7.6 Identify, validate and report deviations from acceptable limits of physiological parameters to the medical practitioner

7.7 Report signs of client discomfort, distress or adverse reaction to the anaesthetist

8. Assist in management of client’s airway during emergence phase

8.1 Assist anaesthetist with client positioning to facilitate management of client’s airway

8.2 Assist anaesthetist to optimise oxygenation of client

8.3 Assist with oral/nasal/endotracheal/SAD suctioning.

8.4 Assist anaesthetist as required during SAD removal or extubation and be prepared for possible reintubation

8.5 Provide reassurance to the client and take action to limit injury

8.6 Observe client’s condition throughout the procedure and take action when required or at the direction of the anaesthetist

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

followed established airway management processes and techniques including performing or assisting with at least 10 of each of the following:

pre-oxygenation

bag or mask ventiliation

Supraglottic Airway Device (SAD) insertion

oral insertion of endotracheal tubes

airway management during emergence

followed established airway management processes and techniques including performing or assisting with at least 3 of each of the following:

endobronchial tube insertion

nasal insertion of endotracheal tubes

laser tubes

rapid sequence induction

predicted difficult airway

attaching clients to ventilators

tracheostomy tube

performed or assisted with airway management on different client types of varied ages, both conscious and unconscious

responded and adapted to airway management problems:

routine

unpredictable

The candidate must be able to demonstrate essential knowledge required to effectively complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the work role. This includes knowledge of:

legal and ethical considerations (national, state/territory) for airway management, and how these are applied in organisations:

codes of practice

duty of care

infection prevention and control

informed consent

mandatory reporting

privacy, confidentiality and disclosure

records management

rights and responsibilities of workers, employers and clients

work role boundaries – responsibilities and limitations

work health and safety (WHS)

considerations for airway management in different types of surgery, including:

general/regional/local anaesthetic and sedation

remote site - radiology, electroconvulsive therapy (ECT) & endoscopy

general/gastro-intestinal surgery

ear, nose and throat surgery

gynaecological surgery

obstetric surgery

orthopaedic surgery

vascular surgery

urological surgery

oral/dental/maxillofacial surgery

cardiothoracic surgery

neurosurgery

plastic surgery

trauma/emergency surgery

ophthalmic surgery

paediatric

airway equipment, including function and operating guidelines, use, indications and limitations, and criteria for withdrawal for:

laryngoscopes blades

fibreoptic bronchoscopes

videoscopes

cricothyrotomy kits

oral and nasal airways

oral endotracheal tubes

laser tubes

nasal endotracheal tubes

tracheostomy tubes

endobronchial tubes

supraglottic airway devices

jet insufflations

intubation adjuncts – bougie, stylet, Magill’s forceps

types of suction equipment, its indication for use and hazards associated with usage

airway management procedures, common issues and scope of technician role in:

bag or mask ventilation

Supraglottic airway device insertion

insertion of endotracheal tube, orally or nasally and endobronchial tubes

rapid sequence induction

predicted difficult airway

airway management during emergence

emergency airway algorithms

gas induction

client considerations for airway management:

relationship between client positioning techniques and optimal airway management

pre-medications and their effects on respiration

causes, signs and symptoms of loss of airway

remedial actions to address loss of airway

type of surgery, including shared airway

anatomy, physiology and pathophysiology factors that impact airway management for different client groups

medical terminology specific to airway management

roles and responsibilities of those participating in the anaesthetic procedure

Australian and New Zealand College of Anaesthetists (ANZCA) Policy guidelines andDifficult airway society guidelines