Nicholas Chrimes Profile
Nicholas Chrimes

@NicholasChrimes

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8K
Following
6K
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573
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Anaesthetist | Creator @VortexApproach | Director @UniversalAirway | Co-founder @SafeAirway | Coordinator @EZDrugID

Sydney, Australia
Joined March 2009
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@doctimcook
Tim Cook
7 hours
@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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@dasairway
Difficult Airway Society (DAS)
6 hours
#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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@doctimcook
Tim Cook
3 days
@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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@doctimcook
Tim Cook
2 days
@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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@altgm
alistair mcnarry
2 days
Use, (all the time unless ati:fb indicated) Teach VL Learn VL
@doctimcook
Tim Cook
2 days
@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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@doctimcook
Tim Cook
2 days
@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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@doctimcook
Tim Cook
23 hours
@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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@BJAJournals
British Journal of Anaesthesia
2 days
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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@GAMCLondon
GAMC 2026
22 days
🚨 SAVE THE DATE! 🚨📣📢 After the incredible success and glowing feedback from our Winter Airway Workshops, the countdown begins for #GAMC2026! 🌞 📅 18–19 June 2026 📍 London Learn from world-class faculty and experience the legendary #GAMC vibe 💫 The booking link opens soon!
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@dasairway
Difficult Airway Society (DAS)
23 hours
#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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@NicholasChrimes
Nicholas Chrimes
2 months
More cases of unrecognised oesophageal intubation here. https://t.co/GNZvdML3q7
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universalairway.org
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@NicholasChrimes
Nicholas Chrimes
2 months
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
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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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@ProfEllenO
Ellen O’Sullivan @ProEllenO.bsky.social
1 year
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
@DAS_2024
DASEvents
1 year
🎙️ 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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@NicholasChrimes
Nicholas Chrimes
1 year
Wow!
@ProfEllenO
Ellen O’Sullivan @ProEllenO.bsky.social
1 year
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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@NicholasChrimes
Nicholas Chrimes
1 year
Ping @EllardLouise 😉
@NicholasChrimes
Nicholas Chrimes
1 year
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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@SafeAirway
Safe Airway Society
1 year
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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@NicholasChrimes
Nicholas Chrimes
1 year
Full free text in @BJAJournals available via this link https://t.co/qYb1ZKGxcF
@NicholasChrimes
Nicholas Chrimes
1 year
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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@doctimcook
Tim Cook
1 year
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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@doctimcook
Tim Cook
1 year
@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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@NicholasChrimes
Nicholas Chrimes
1 year
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.
@cliffreid
Cliff Reid
1 year
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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