Nicholas Chrimes
@NicholasChrimes
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Anaesthetist | Creator @VortexApproach | Director @UniversalAirway | Co-founder @SafeAirway | Coordinator @EZDrugID
Sydney, Australia
Joined March 2009
@Dr__Yield @BJAJournals @dasairway Guidelines do not mandate care, but they do de facto establish standards -these guidelines based on evidence -they recommend default VL -the strength of recommendation evidence is grade A (the highest possible) -the rationale for use of a VL is safety -our standard-setting
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#DASWales 2026 Super early bird rate registration option is now available for a limited number of delegates! https://t.co/IQIbuRQ4qB
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@sally_ghazali @WAMM2025 Yes I’ve posed the question before… “If we had a moratorium on new equipment for10 yrs and spent the same time and money on improving technical skills with what we have, and non technical skills….would we be safe than simply chasing equipment improvements/competition? This is
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@AdiGatsby @dasairway Three points here 1 Yes, in resource limited settings achieving default VL may be difficult or impossible. In the UK and other high resource environments it isn’t. Well done @dasairway for the recommendation 2 DL is less effective and less safe than VL. However good one’s DL
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Use, (all the time unless ati:fb indicated) Teach VL Learn VL
@dasairway guidelines out USE A VIDEOLARYNGOSCOPE DEFAULT Videolaryngoscopy is now the recommended norm Some folk will need to make changes. We recently published a narrative review which discusses the challenges and myths around VL and gives guidance on default VL
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@dasairway guidelines out USE A VIDEOLARYNGOSCOPE DEFAULT Videolaryngoscopy is now the recommended norm Some folk will need to make changes. We recently published a narrative review which discusses the challenges and myths around VL and gives guidance on default VL
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@maffygirl Do we need a video on an SGA (routinely) I was struck by the fact in a poster I was down to judge that there was no correlation between laryngeal view down an I-gel and position over the larynx What is our goal? Good ventilation or perfect positioning over the larynx? I post
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2025 DAS guidelines for the management of unanticipated difficult airway published today in the British Journal of Anaesthesia. #airway #difficultairway #intubation #anaesthesia #anesthesia
https://t.co/ieNnhhmbUw
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#WAMM2025 Messages from the WAMM Executive Directors @ProfEllenO , Prof Anil Patel and Prof Elizabeth Behringer Please mark your diaries for #DASWales in 2026! Limited number of super early bird seats available on the event website.
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More cases of unrecognised oesophageal intubation here. https://t.co/GNZvdML3q7
universalairway.org
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Yet another case of unrecognised oesophageal intubation from 2021. International guidelines are now available to avoid this tragic outcome. The article likely understates the incidence of this complication. https://t.co/D0tQSNZE3m
@radionz @doctimcook
https://t.co/7n5NKKjrOo
associationofanaesthetists-publications.onlinelibrary.wiley.com
Across multiple disciplines undertaking airway management globally, preventable episodes of unrecognised oesophageal intubation result in profound hypoxaemia, brain injury and death. These events...
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Not too late to join us in London for #DAS2024 at beautiful Guildhall on Nov 28 to 29th! Always a great meeting 👍 @dasairway @dastrainees @dr_imranahmad @altgm
🎙️ Faculty Spotlight #DAS2024
@ProfEllenO and Prof Anil Patel will join us at @dasairway ASM London on 28-29th November Full programme and registration here: https://t.co/TIYMoq7Hz9 Hurry, only limited spaces left! @dastrainees @DASRegistry
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Wow!
What a brilliant Airway Masterclass @COAIrl . 14 hospital sites participating via internet & 120 participants & 40 faculty . Mix of workshops /group discussions I@aoife_lavelle ,@altgm CraigLyons,BillWalsh @joemcgeary1 @teasy @AndyHiggsGAA @AnaesTrainees
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Ping @EllardLouise 😉
No need to accept a 'compromised' view with HAVL if 2 movements used to expose glottis: 1. Rotational advancement until grade 2 view obtained. 2. Vertical lift (wout further advancement of tip) to optimise view. Generally provides G1 view wout creating problems passing tube.
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Save the date for #SAS2025, our annual airway education event, at the Sofitel Resort in Noosa Heads, Queensland next year. Workshops Fri 12th Sep PM All day interactive plenaries Sat 13th Sep All faculty LIVE. No virtuals allowed 🚫 Details in the New Year. Grade 1 view...
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Full free text in @BJAJournals available via this link https://t.co/qYb1ZKGxcF
Paper demonstrating the feasibility, acceptability & perceived benefits of a 2-person check for intubation (as recommended in the @UniversalAirway consensus guidelines for preventing unrecognised oesophageal intubation) in @BJAJournals
https://t.co/XImNGmbd4M
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TWO PERSON CHECKING TO LESSEN RISK OF OESOPHAGEAL INTUBATION is feasible & acceptable Great to see this paper in early access in @BJAJournals A simple feasibility study supported both 2-person checking of capnograph trace (sustained exhaled CO2) & 2-person checking of
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@AirwayLegend @TheRealAlMay @anaes_spr @BJAJournals Fairly strong disagree There’s a tendency for some doctors to cast themselves as hero: who by dint of their special heroism will rise above the norm and do things others can’t do. It tallies with not following guidelines and directives, going off script, eschewing advice etc
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Impressive work across all domains of practice: training, performance & auditing of outcomes to close the loop & inform future care. Well done to the whole team.
Our hospital opened at the end of October 2018 Since day 1 of opening we have kept a detailed registry of all intubations in the emergency department We completed our sixth year of data collection this week 1/14
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