Difficult Airway Society (DAS) Residents
@dasresidents
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Difficult Airway Society Trainees / Resident Doctors Representatives @drnishaat @naomi_gostelow @majumdar_moon Charity 1071732
Joined November 2018
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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
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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
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#JanuAIRWAY Day 2. Bedside Airway Assessment. NAP4 @doctimcook showed poor airway assessment contributes to poor outcomes. Thorough assessment = essential. Here’s a #OnePager on bedside tests to help assess for potential difficult airway management. #FOAMed #JanuAIRWAY 1/8
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#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
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#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
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#JanuAIRWAY Day 29 – Extubation. Needs planning, just like intubation. Let’s dive in with a #OnePager covering the essentials. #FOAMed #JanuAIRWAY 1/10
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#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
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#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
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#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
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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
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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
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#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
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#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
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#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
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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
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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
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#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
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#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
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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
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#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
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#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
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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
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#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
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#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
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#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
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#JanuAIRWAY Day 14. One Lung Ventilation – one of @vapourologist’s favourite procedures in anaesthesia – physiology in action! Here’s a #OnePager. Let’s dive in….#JanuAIRWAY 1/9
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#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
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#JanuAIRWAY Day 21. Airway Obstruction – Infraglottic (extrathoracic). Presents a unique set of challenges. Let’s dive in … Here's a #OnePager.#JanuAIRWAY 1/6
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#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
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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
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Happy Saturday from the #JanuAIRWAY Team! Today we’re looking at eFONA. Here’s some #OnePagers on DAS endorsed techniques… 1/3
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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
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#JanuAIRWAY Day 15. The Obstructed Airway – Think NOLIMBS.- Nasal/Nasopharyngeal-.- Oral/Oropharyngeal.- Laryngeal.- Infra-glottic – extra/intrathoracic.- Malacias.- Bleeding.- SVC Obstruction.Here's #OnePager outlining the general approach #FOAMed.1/7
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#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
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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
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#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
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#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
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#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
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#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
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#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
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#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
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#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
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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
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#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
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#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
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📢 FREE WEBINAR. #DASeducation are delighted to be joining @SOBAuk @OAAinfo and @RCoANews for a webinar on managing bariatric airways!. Speakers include: @Admckdoc @noolslucas @dr_imranahmad . 📅 31st March 2022.⏰ 18.00 - 19.30.Register here 👉
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#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
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#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
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#JanuAIRWAY Day 17. CICO - Scalpel Techniques. Absolutely ESSENTIAL knowledge for anyone involved in airway management! Here’s a #OnePager with the @dasairway algorithm. Let’s dive in… #FOAMed.#JanuAIRWAY 1/6
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Welcome back to #JanuAIRWAY best bites – out penultimate post in this year’s best bites! And it’s some of our favourite Specialist Airways #OnePagers. Thanks again to our fabulous contributors – @noolslucas (Obs), @gasgal13 (Neuro), @SOBAuk/@Admckdoc . 1/4
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🚨 #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
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📢NEW #DASeducation #OnePager .Topic: Oesophageal Intubation. Thanks @doctimcook and Barry McGuire for helping us put this one together! #CompilationBonus. Some related links you may find helpful:.🔗#JanuAIRWAY Day 9 - Capnography 🔗
PREVENTING UNDETECTED OESOPHAGEAL INTUBATION. A thread @RCoANews @dasairway @ICS_updates @FICMNews @CollegeODP @SaferSurgeryUK @BACCNUK @MartinBromiley . It is rare .It is fatal.It is avoidable.Sadly it still happens. 1/16.
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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
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#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
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#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
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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
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#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
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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
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#JanuAIRWAY Day 23 (the final stretch!). Malacias and SVC Obstruction. Here's a pair of #OnePagers to get started. #JanuAIRWAY 1/10
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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
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📢There were some outstanding applicants for our @dasairway trainee rep position. So much so it was impossible to appoint just one! . Massive well done to our new @dastrainees: @silv24 and @majumdar_moon on successful applications!. #TraineeRep #DAS #watchthisspace
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#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
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📢#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!.🔗
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#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
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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 👉
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#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
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#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
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#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
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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
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Welcome to the last day of #JanuAIRWAY best bites 2023 – And fittingly we're ending with Extubation #OnePagers. 1/3
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#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
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#JanuAirway Day 4. Gastric Ultrasound #POCUS or #HOCUM? Maybe these #OnePagers can convince you it’s no joke? Thanks to the legendary @elboghdadly for his help on this one! 1/12
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📢#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
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#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
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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
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📽️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
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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.
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My mind is blown - Prof Sim Jagannathan talking about awake supraglottic airway placement in a baby and methods of topicalisation #vDAS2021
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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
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✨It's here!✨. We are very excited to share with you the latest compilation of #JanuAIRWAY incuding NEW content from the 2024 series!. Brought to you by @Vapourologist and @dastrainees . Scan the QR code for on the go #DASEducation!
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Thank you all so much for making #JanuAIRWAY exceed all of our expectations. Thank you @Vapourologist for trusting us with your idea, @dr_imranahmad @ravibhagrath Fauzia Mir and the @dasairway committee for your support! Hopefully we did ok and we'll be allowed back in 2023 😃.
And that’s it - that completes #JanuAIRWAY for 2022! Thanks for joining us - we hope you've enjoyed it! And also to all our expert contributors @dr_imranahmad @noolslucas @gasgal13 @Admckdoc @SOBAuk Alistair Baxter, @ENT_UK’s Sadie Khwaia and Adam Donne. #JanuAIRWAY 5/7
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📢FREE WEBINAR. Management of haematoma after thyroid surgery: @dasairway @BAETS_UK @ENT_UK joint webinar. 🗓️25th November 18:00.🎫Register via @RCoANews 👉. 🔓Guidelines in @Anaes_Journal .🔗 #DASGuidelines #patientsafety
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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
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#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!.👉
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Anyone who missed the @dasairway @BAETS_UK @ENT_UK and @RCoANews joint webinar last night on Management of haematoma after thyroid surgery the recording is now available! #DASeducation. 🎞️ 🔓Guidelines Open Access @Anaes_Journal 👉
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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
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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.
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ITS TOMORROW!. We're looking forward to joining the airway leads from across the country - March 2020 feels like a lifetime ago! . We'll be tweeting live! If you're there tweet us @dastrainees @dasairway @RCoANews and/or @HSRCNews using the #'s #AWL22 #AirwayLeads. See you there!
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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!
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It's Day 8 of #DASbitesize and today we look at supraglottic airway devices (SADs). For trainees.👉 For trainers.👉 #DASEducation #NewNovice @Vapourologist @gunjeet99 @GasNovice @dasairway . Tomorrow: extubation
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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! .
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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
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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
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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!
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Calling all anaesthetic trainees attending @WAMM_2019! .We’re excited to announce a dedicated trainee session with some complimentary drinks and nibbles, thanks to @dasairway @EAMSAirway and @Socforairway- Thursday 4pm, see you there 😀 #wammsterdam.
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Tell your anaesthetic, ICU, Surgical, Theatre, Nursing teams. This Webinar is for EVERYONE in the MDT not just anaesthetists!. 👇👇.
📢FREE WEBINAR. Management of haematoma after thyroid surgery: @dasairway @BAETS_UK @ENT_UK joint webinar. 🗓️25th November 18:00.🎫Register via @RCoANews 👉. 🔓Guidelines in @Anaes_Journal .🔗 #DASGuidelines #patientsafety
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It's Day 3 of #DASbitesize and today we are looking at the anatomy of the larynx!. Check back in tomorrow for our last airway anatomy instalment 😄. #DASbitesize #DASEducation #NewNovice #TaysideMasteryLearning. @Vapourologist @gunjeet99 @GasNovice
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