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#JanuAIRWAY
Day 8. Capnography. This is one of essential pieces of monitoring equipment needed during airway management. But its presence isn’t enough, correct interpretation is vital. Let’s start with a
#OnePager
looking at the different waveforms.
#JanuAIRWAY
1/10
Happy New Year Everyone. Welcome to
#JanuAirway
. Let’s start with the basics – Oxygen. Meaningful delivery of adequate oxygen is the fundamental aim of airway management. Think A.B.O. – Always, Be, Oxygenating. Here’s a
#OnePager
covering the basics of oxygen physiology 1/7
#JanuAIRWAY
Day 15. Tracheostomies – more than just an ETT through the neck. Here’s a
#OnePager
covering some of the different tube types. Let’s dive in…
#JanuAIRWAY
1/9
#JanuAIRWAY
Day 26 – The Traumatic Airway. Particularly stressful airways to manage = one part of a wider critically ill patient. Let’s kick off with a
#OnePager
#FOAMed
#JanuAIRWAY
1/5
#JanuAIRWAY
Day 28 – The Bariatric Airway (thanks to
@Admckdoc
/
@SOBAuk
for their expert contribution). Let’s dive in…Here's a
#OnePager
on key issues and principles of management. Also consider downloading the useful SOBA app (🔗)
#JanuAIRWAY
1/5
#JanuAIRWAY
Day 24 -Paediatric Airways. (ft. expert contributions from Alistair Baxter and
@ENT_UK
’s Adam Donne). Let’s dive in … Here's some
#OnePagers
covering anatomy, induction, airway manoeuvres and basic airway equipment.
#JanuAIRWAY
1/10
#JanuAIRWAY
Day 6. Equipment. Good workers know their tools – knowing our equipment is essential! Here’s some
#OnePagers
- the fundamentals of masks, NP/OPs, SADs, and ETTs.
#JanuAIRWAY
1/4
Welcome to
#JanuAIRWAY2024
. Every weekday we'll be bringing you Airway
#FOAMed
. Starting off with management of transgender airway -here's a
#OnePager
. It's a huge topic going beyond just the airway. Thanks to Drs
@LukeFlower1
@drkamillak
& Alice Humphreys for all their help! 1/7
#JanuAIRWAY
Day 9. High Flow Nasal Oxygen (HFNO). This has been a game-changer in recent years. Thank you A.Patel and S Nouraei for their amazing landmark paper on THRIVE! 🔗
Let’s dive in…
#JanuAIRWAY
1/6
The final day of
#JanuAirway
2024 and we've gone back to where it all started in 2021; Oxygen. The meaningful delivery of adequate oxygen is the fundamental aim of all airway management. Here’s a
#OnePager
covering the basics of oxygen physiology 1/7
#JanuAIRWAY
Day 7. Equipment. Laryngoscopy is an essential skill for airway managers. Let’s start with
#OnePagers
looking at a classification of the different types of laryngoscopes
1/6
#JanuAIRWAY
Day 18. Another short one following on from yesterday (laryngeal obstruction), today is all about Laryngospasm. An essential thing anaesthetists must learn to manage. Let’s dive in with a
#OnePager
outlining physiology, risk factors and management.
#FOAMed
1/4
Welcome back to
#JanuAirway
Day 23. The Bleeding Airway – a nightmare situation every airway manager needs to be prepared for. Let’s start with a
#OnePager
– thanks to the legendary Barry McGuire for his expert help!
1/6
Next up for
#JanuAIRWAY
best bite - tracheostomies and laryngectomies! Here’s a
#OnePager
and the
@NTSP_UK
algorithms. Check out their website for lots of resources
🔗
1/2
#JanuAIRWAY
Day 10. The Cook Airway Exchange Catheter – it’s a useful piece of equipment, but one not everyone will be familiar with. Here’s a
#OnePager
. Let’s dive in…
#JanuAIRWAY
1/6
#JanuAirway
Day 12. Capnography. The essential piece of monitoring equipment for airway management. Correct interpretation = vital, especially to avoid oesophageal intubation. Let’s start with
#OnePagers
for the different waveforms & UOI. Thanks to
@doctimcook
for his help!
1/4
Happy New Year Everyone! Welcome to
#JanuAIRWAY
best bites 2023. Starting with oxygenation. The meaningful delivery of oxygen is the fundamental aim of all airway management. Think ABO – Always, Be, Oxygenating. Here’s some
#OnePagers
covering the basics of oxygen physiology. 1/2
#JanuAIRWAY
Day 13. Jet Ventilation – this is a bit more niche in anaesthesia / airway management, but fascinating. Here’s a
#OnePager
covering the basics. Let’s dive in…
#JanuAIRWAY
1/8
Welcome back to
#JanuAIRWAY
! Today we’re looking at awake tracheal intubation. Here’s some
#OnePagers
on ergonomics and equipment to get things started… 1/4
#JanuAIRWAY
Day 16 (we’re over ½ way!) Cannot Intubate Cannot Oxygenate (CICO) Scenario - Needle Techniques. Potentially controversial (DAS primarily advocates scalpel techniques), but worth knowing about - particularly for paeds! Here’s some
#OnePagers
to start..
#JanuAIRWAY
1/7
#JanuAIRWAY
Day 4. Airway Investigations. 2 broad categories we can use to round out our airway assessment; flow/volume-based lung function tests & imaging techniques. They vary in their usage and usefulness. Here's some
#OnePagers
#FOAMed
on Spirometry and Flow-volume loops 1/17
#JanuAIRWAY
Day 20. Airway Obstruction – Periglottic. Often the most challenging for the general anaesthetist. Let’s dive in … Here's a
#OnePager
#JanuAIRWAY
1/6
#JanuAIRWAY
Day 19. The Obstructed Airway – Think SPIMS
-Supra-
-Peri-
-Infra-glottic – extra/intrathoracic
-Malacias
-SVC Obstruction
Today we’re going to focus on Supraglottic Airway Obstruction. Here's a
#OnePager
to get started!
#FOAMed
#JanuAIRWAY1
/7
#JanuAirway
Day 11. Retrograde Intubation. This is a useful skill, but one most anaesthetists won’t experience. Let’s start with a
#OnePager
looking the what, why and how … and what can go wrong. We’d love to hear about your experiences!
1/5
#JanuAIRWAY
Day 21. Airway Obstruction – Infraglottic (extrathoracic). Presents a unique set of challenges. Let’s dive in … Here's a
#OnePager
#JanuAIRWAY
1/6
#JanuAirway
Day 8. Equipment. Good workers know their tools – knowing our equipment is essential! Here’s some
#OnePagers
- the fundamentals of masks, NPA/OPAs, SADs, Tracheal tubes and bougies.
1/4
Welcome back to
#JanuAIRWAY
best bites. Next up = Equipment. Good workers know their tools – knowing our equipment is essential! Here’s some
#OnePagers
- the fundamentals of masks, NP/OPs, SADs, ETTs etc.
1/3
We’re really greatful for the constructive feedback we’ve received on
#JanuAIRWAY
. Here’s some
#OnePagers
we’ve improved with your suggestions.
A huge amount of work has gone into the series, and with >250 pieces of content no matter how many times we or our experts proof.. 1/2
#JanuAirway
Day 3. Let's talk Airway Ultrasound. A hugely useful skill in our airway toolkit. The bonus is it’s pretty simple to get to grips with the basics. Check out Michael Seltz Kristensen's work – undisputed master of airway ultrasound. Here’s a
#OnePager
on the basics 1/11
#JanuAirway
Day 9. A short one today, but such an important one, linking in with yesterday – Face Mask Ventilation. Here’s a
#OnePager
covering the basics of this core skill – adapted from a fantastic article by
@lowebrad
& Craig Lyons () 1/5
Its Wednesday which means it time for some more
#JanuAIRWAY
best bites! We’ve squeezed all our Obstructed Airway
#OnePagers
into one thread. Remember the mnemonic NOLIMBS 1/3
The absolutely incredible painting that won the DAS 2022 Trainee Competition in Creative Media - Airway of Dreams by Dr Helena Jennison. Come and see it in person
@DAS2022_
#DAS2022
#JanuAIRWAY
Day 12. Awake Techniques (ft. expert contributions from
@dr_imranahmad
). This is a key skill for an airway manager. Here’s a
#OnePager
covering the basics of Awake Tracheal Intubation (ATI) and nasendoscopy. Let’s dive in…
#JanuAIRWAY
1/11
#JanuAIRWAY
Day 27 – The Neurosurgical Airway (thanks to
@gasgal13
for her expert contribution to today’s content!). Head Vs Spine. Elective Vs Emergency. So many points of interest for airway managers. Here's a pair of
#OnePagers
to kick off!
#JanuAIRWAY
1/5
#JanuAirway
Day 7. Equipment. Laryngoscopy is an essential skill for airway managers. Let’s start with a
#OnePager
looking at laryngoscopes and a way of classifying the different types of laryngoscopes
1/5
#JanuAIRWAY
Day 25 – Obstetric Airways (thanks to
@noolslucas
for her expert contribution to todays content!). Let’s dive in…Here's a
#OnePager
and decision tools from a great review article
🔗
#JanuAIRWAY
1/5
#JanuAIRWAY
Day 17. Back to Airway Obstruction – today Laryngeal and Laryngopharyngeal. Often the most challenging for the general anaesthetist. Let’s dive in … Here's a
#OnePager
together with our general approach to obstruction.
#JanuAIRWAY
1/6
Airway Ultrasound - a 🧵
(Note: this tweetorial is stolen from
#JanuAIRWAY
D4)
A useful and simple skill to support safe airway management. Check out Michael Seltz Kristensen's work – undisputed master of airway ultrasound. Here’s a
#OnePager
on the basics from
#JanuAIRWAY
1/9
#JanuAIRWAY
Day 11. The Aintree Intubation Catheter – an amazingly useful piece of equipment – every airway practitioner should be familiar with. Here’s a
#OnePager
. Let’s dive in…
#JanuAIRWAY
1/5
#JanuAIRWAY
Day 31 (the last day!) – Difficult Airway Conditions. There are loads – what follows isn’t a definitive list – but it’s pretty long all the same! Let’s dive in…
#DifficultAirway
#FOAMed
#JanuAIRWAY
1/7
#JanuAIRWAY
Day 22. Airway Obstruction – Infraglottic (intrathoracic). Again, presents its own set of challenges. Let’s dive in … Here's a
#OnePager
(Ft. expert contribution Sadie Khwaja
@ENT_UK
)
#JanuAIRWAY
1/7
#JanuAIRWAY
Day 30 (the penultimate day) - Guidelines. Probably fair to say what we’re best known for at DAS. However it is important to recognise they are just that - guidelines. Here’s a refresher of our difficult intubation guidelines to get started.
#JanuAIRWAY
1/10
#JanuAirway
Day 5. A short one today, but an important one, linking in with yesterday –Pulmonary Aspiration. Here’s a
#OnePager
covering the basics 1/7
🚨
#JanuAIRWAY
- The Compilation!
We've had a substantial number of requests for access to the
#JanuAIRWAY
materials. The compilation is in progress and we’re hoping to release in an e-book format. Our aim (not promise) is to share this by the end of February!
#JanuAIRWAY
1/2
#JanuAIRWAY
Day 19. Back to Airway Obstruction – Today its Infraglottic – can be divided into: extrathoracic (above thoracic inlet) and intrathoracic (below). Each presents unique challenges. Let’s dive in … Here are the
#OnePagers
(Ft. expert contribution Sadie Khwaja)
1/10
Welcome back to
#JanuAirway
Day 22. ECMO and difficult airways. This is a niche area, but important to consider for elective cases, especially if you work in a centre with easy access. Let’s start with a
#OnePager
– thanks to
@drcameronmaxwe1
for his expert help!
1/6
#JanuAirway
Day 2. Yesterday highlighted the need for strategy, so let’s talk Airway Planning. Decision making = the true art of airway management! NAP4
@doctimcook
showed that poor judgement is implicated in many airway complications. This
#OnePager
covers the major themes. 1/9
We're back with
#JanuAIRWAY
best bites & arguably the most prominent topic in airway management right now! Capnography & Oesophageal Intubation. Here’s some
#OnePagers
& if you haven’t already do check out the
@UniversalAirway
guidelines
🔗
#JanuAIRWAY
1/2
#JanuAIRWAY
Day 18. Extra CICO Equipment. At least 2 pieces of equipment deserve extra attention – Rapid-O2 & the Melker airway (key components of the cannula technique one for initial oxygenation & one for securing the airway)! Here’s a pair of
#OnePagers
to get started.. 1/5
Welcome back to
#JanuAirway
Day 30. Human Factors in airway management. Too big a topic to cover in a short thread, but an essential one to start learning about - so let’s start with an introductory
#OnePager
– eternal thanks to Prof
@Fionafionakel
for her expert help!
1/5
#JanuAIRWAY
Day 16 – a short one today, but an important one, Dental Damage – the leading cause of complaint/medicolegal claims against anaesthetists.
Here's a
#OnePager
outlining the why, risk reduction and how to manage
#FOAMed
1/5
CONGRATULATIONS
@dr_imranahmad
DAS President!
“DAS has had a major influence in shaping my anaesthetic career and I am truly honoured to become the President of this great society, a career highlight for sure!”
We promise to drive you mad with enthusiasm 😁
Love
@dastrainees
x
#JanuAIRWAY
The final three days! Day 29. Awake Techniques – this is a key skill for an airway manager. Here’s a
#OnePager
covering the basics of ATI and nasendoscopy. Let’s dive in…
1/8
📢
#JanuAIRWAY
- The Compilation AVAILABLE NOW!
✉️ on the way to DAS members
🔗 will be on the DAS website tomorrow
Here is the link. We hope you enjoy it!
🔗
Absolutely delighted our
#JanuAIRWAY
team won the Team of the Year award
@GAMCLondon2022
. A piece of work we're all really proud of. Thank you
@Vapourologist
for your awesome team leading and to all of our expert contributors!
Link to compilation 👉
#JanuAirway
Day 5. Airway Planning. Decision making is the true art of airway management, and something that we don’t really get taught! NAP4
@doctortimcook
showed that poor judgement was implicated in many airway complications. Here’s a
#OnePager
covering the major themes. 1/16
#JanuAIRWAY
Day 25. Submental Intubation – a technique that may be familiar to max-fax / head and neck anaesthetists, but not necessarily to all. Main indication = craniofacial surgery (including orthognathic) or trauma. Here’s the
#OnePager
1/5
We hoped to get to 4,000 followers by the end of the month.. but we've been blown away by the support and enthusiasm!
Thank you for all the lovely comments, likes and retweets. We hope you find the content helpful. Stay tuned we still have 16 days to go
#JanuAIRWAY
#JanuAIRWAY
Day 3. The Difficult Airway. Many definitions. NAP4 has a procedural framework. Useful but not the whole picture.
@HansHuitnik
and Bouwan’s seminal introduces ‘complexity factors 1/7
#JanuAirway
Day 24. Malacias and SVC obstruction.
Let's start with what are malacias? = rare dynamic airway obstruction - (congenital / acquired) due to loss of cartilaginous support - Here's the Malacias
#OnePager
- SVC comes later in the 🧵1/8
📢
#JanuAIRWAY
- The Compilation will be released TOMORROW!!!
It is going to be free to access and downloadable!
There will be:
✉️ to DAS members
🔗 posted on our Twitter (
@dastrainees
)
🔗 on the DAS Website
Be excited!
#JanuAIRWAY
#DASeducation
DAS Education lead applications were highly competitive, so much so it was impossible to appoint just one! We’re delighted to welcome Dr Gunjeet Dua from Guys and St Thomas’ NHS Trust and Dr Tom Lawson from Swansea Bay UHB
Welcome
@gunjeet99
and
@Vapourologist
#JanuAIRWAY
's off to a great start. Here’s a summary of Week One.
Day 1 – Oxygenation -
Day 2 – Assessment -
Day 3 – The Difficult Airway -
Day 4 – Investigations/Ultrasound -
1/2
#JanuAIRWAY
Day 4. Airway Investigations. 2 broad categories we can use to round out our airway assessment; flow/volume-based lung function tests & imaging techniques. They vary in their usage and usefulness. Here's some
#OnePagers
#FOAMed
on Spirometry and Flow-volume loops 1/17
📽️WEBINAR RECORDING NOW AVAILABLE
Anyone who missed last nights webinar can catch up via the link below! Also has links to the papers discussed and some other resources which you may find useful.
🔗
#DASeducation
We hope you all continue to enjoy
#JanuAIRWAY
- The Compilation
Available here👉
Thanks to everyone who has sent us feedback! We hope you find it useful.
Pre/apnoeic oxygenation must be done well. Patience, VC breaths +/- high flow nasal oxygen are key. We’ll cover Optiflow & jet ventilation later this month, here are
#OnePagers
covering NO-DESAT by
@airwaycam
& THRIVE by Anil Patel and
@larynxUK
. 5/7
#FOAMed
#JanuAIRWAY
5/7
#JanuAIRWAY
D32... WAIT... WHAT... OH NO 😭
We would be super grateful if you would take 2 minutes to complete our short evaluation survey. Please let us know what you thought, how we can be better and if you would like to see
#JanuAIRWAY
back in 2023!
👉
This is why airway assessment needs to be global. Airway assessment is more than just intubation! Here's a
#OnePager
showing some mnemonics that can help identify difficult procedures, following the NAP4 structure.
#JanuAIRWAY
6/8
MUST establish whether upper airway is present – i.e. tracheostomy or laryngectomy (neck-breather). NAP4 & NCEPOD show poor outcomes still occur.
@NTSP_UK
has fantastic algorithms for both emergency scenarios.
#JanuAIRWAY
6/9
DAS 2020 has gone virtual! Join us on the 18th & 19th September for two half-day webinars discussing Airway Management issues and COVID-19. Programme and registration details will be announced shortly. Accepting abstracts soon...
@dasairway
@elboghdadly
@dr_imranahmad
@altgm
Happy New Year Everyone! Join us tomorrow for
#JanuAIRWAY
best bites 2023. Twice weekly (Wed & Sat), we'll be highlighting some of the most popular topics from
#JanuAIRWAY
. As always if you have any suggestions for new content, we'd love to hear them. See you tomorrow!
Enjoying
#JanuAirway
? Want more educational content and to be a part of an organisation improving airway management and promoting patient safety? Want to help our trainee reps get the best out of DAS for you? Join us!! Only £25 for that and much more!
The Macewen medal is a prestigious mark of excellence awarded to a member for contribution to the society and airway management
CONGRATULATIONS
@doctimcook
from everyone
@dasairway
We think you’re AWESOME!
Traches = surgical / percutaneous. 3 main surgical techniques – window, slit & Bjork flap. Important difference = time for tract maturity:
Perc = 7-10days
Surgical = 2-4days
Important in decannulation, a false tract can occur if trach re-inserted before maturity!
#JanuAIRWAY
5/9
We’re 2 weeks into
#JanuAIRWAY
! Hands up if you’re enjoying it so far 🙋 Here’s your week two round up!
Day 8 – Capnography
Day 9 – High Flow Nasal Oxygen (HFNO)
#JanuAIRWAY
1/3
#JanuAIRWAY
Day 9. High Flow Nasal Oxygen (HFNO). This has been a game-changer in recent years. Thank you A.Patel and S Nouraei for their amazing landmark paper on THRIVE! 🔗
Let’s dive in…
#JanuAIRWAY
1/6