The SAS Airway Workshop roadshow is coming to Christchurch! 12/9/26 For more information and to register: vist.ly/5ain7
Nicholas Chrimes
@chrimesy.com
Anaesthetist | Creator Vortex Approach | Co-founder Safe Airway Society | Director Universal Airway (PUMA) Guidelines | ANZCA/ASA/NZSA Airway SIG Executive Member VortexApproach.org UniversalAirway.org SafeAirwaySociety.org EZDrugID.org
Here's a good one! The criteria for excluding oesophageal intubation are different from those for confirming tracheal intubation. Thoughts? #AnSky #MedSky @chrimesy.com doi.org/10.1111/anae...
A few places still available for our Gosford Airway Workshop this Sat morning (& optional Airway Ally Workshop on Fri pm for airway assistants). Station Leads: Neck Rescue: Adam Rehak HAVL/VAFI: Nicholas Chrimes Trachy/lary emergencies: Jon Gatward Register here: vist.ly/53bcg
Registrations are now open for all SAS 2026 workshops and the annual meeting in Noosa (held back-to-back with the Airway SIG meeting) Don't miss out. See the website for more details vist.ly/4xi9e
SAS Events
SAS Events
safeairwaysociety.org
SAS 2026 - The Safe Airway Society Annual Event - NOW OPEN FOR REGISTRATION 28th August 2026 Elysium Noosa Resort BOOK NOW TO AVOID MISSING OUT! https://sas-sas2026-annual-meeting.eventsair.site/
Separate registrations required for Airway Management SIG & SAS Annual Meeting: Airway management SIG Meeting: vist.ly/4zvyy SAS Annual Meeting: vist.ly/4zvz4
Australia & New Zealand's leading airway education organisations come together for the 1st time for back-to-back meetings at the Elysium Resort Noosa. Speakers include DAS President Al McNarry, SAS President Louise Ellard, Airway SIG Chair Rani Chahal, Anaesthesia EIC Matt Wiles, Cliff Reid & more!
Calling clinicians and managers involved in airway management! Take part in a Safe Airway Society study on clinical governance and help shape safer airway practice across Australia and New Zealand. To find out more and to participate, visit: vist.ly/4v94a
New: Guidelines for anaesthesia and sedation in patients who are breastfeeding Anaesthetic, sedative & analgesic medicines are transferred to breastmilk in only very small amounts. Patients should be advised that discarding of breastmilk after anaesthesia is not necessary Download: buff.ly/KNnL8gR
Semaglutide, fasting and gastric ultrasound Nearly 50% of patients receiving semaglutide treatment had a full stomach on pre-operative gastric ultrasound, regardless of dose, duration, route of administration or withholding time. #AnSky doi.org/10.1111/anae...
Be interested to know what their starvation time was? Patients on GLP here are now getting 24 hour fast pre-op.
Some correspondence from a retired academic lawyer on consent! "... the law, while dynamic, is almost always reactive. Expecting it to change to fit a particular narrative is likely to end in disappointment." #AnSky #LawSky doi.org/10.1111/anae...
Save the date for the @SafeAirway 2026 Annual Meeting. Held in collaboration with the @anzca.bsky.social @asa-australia.bsky.social @thenzsa.bsky.social Airway Management SIG meeting, our shared theme is 'One Airway, One Team'. Get alerted when rego opens: sasevents.eventsair.site/contact-us
Registrations are now open for our Gosford Airway Workshop. Come learn HAVL, VAFI, Neck Rescue & management of trache/lary emergencies on NSW's sunny Central Coast. Qualifies for @anzca.bsky.social CICO ERM sign off & for CICM airway CPD recognition. sasevents.eventsair.site/registration
Should we use fewer arterial catheters in critical care patients? It may prevent harm from non-infective and infective complications, lower financial and environmental costs and reduce iatrogenic blood loss and blood transfusions in individual patients. #AnSky #ICUSky doi.org/10.1111/anae...
doi.org
Pity they massively overdosed the ketamine arm - significant percentage > 2mg/kg / no ceiling dose ("rule of 1 ampoule") / dose per total body weight / and who gives > 0.5 mg/kg to a "sick" patient - great trial / wrong pharmacology / wrong conclusion = drugs are equivalent at equipotent doses
Hyperangulated videolaryngoscopy: stylet first until benefit of bougie is shown "...the current challenge for the wider community of anaesthetists ... is not mastery of HAVL but access to devices, routine use, gaining familiarly and developing competence." #AnSky ttps://doi.org/10.1111/anae.70062
Registrations are now open for the 1st stop on the Safe Airway Society's 2026 #AirwayWorkshopRoadshow: MELBOURNE! ½ Day workshop Sun 22nd March at Peter Mac Stations: Neck Rescue @ANZCA.bsky.social CICO ERM sign off available) HAVL/VAFI Trache/Lary Emergencies Places will sell out fast.
Incidence of peri-operative nerve injuries appears to be decreasing over time - a result of meticulous attention to pressure areas? Increasing use of ultrasound for nerve blocks? What do you think? @dr-amit-pawa.bsky.social @jeffgadsden.bsky.social
Incidence of peri-operative peripheral nerve injuries associated with general and regional anaesthesia: an observational study #AnSky #RASky doi.org/10.1111/anae...
Save the dates for our 2026 #AirwayWorkshopRoadshow & annual meeting. This year our annual meeting will be held back-to-back with the @anzca.bsky.social @thenzsa.bsky.social @asa-australia.bsky.social Airway SIG meeting in Noosa Heads, QLD. Registrations open Jan 2026 More details to follow.
Australasian Anaesthesia 2025 (also known as the Blue Book) has landed! You can read a digital version, or order a hard-copy version, here: bit.ly/49JzoxX
“For clinicians who have abandoned cricoid force… the qtn to be answered is why they employ any element of RSI at all. Rather than selectively abandoning cricoid force as a component, it should perhaps be the only component we retain” From @chrimesy.com in @anaesjournal.bsky.social
Cricoid force: therapeutic, prophylactic or routine
Click on the article title to read more.
associationofanaesthetists-publications.onlinelibrary.wiley.com
"It is perverse that cricoid force has been abandoned selectively by many clinicians for not representing evidence-based practice when, compared with [other RSI elements], it is cost-free, better reasoned, has less potential for harm & more evidence of efficacy." #AnSky doi.org/10.1111/anae...
Cricoid force: therapeutic, prophylactic or routine
Click on the article title to read more.
doi.org
This one’s for @drmikeclifford.bsky.social Cricoid pressure has been selectively vilified out of RSI in many settings, yet it has less risks, a better rationale & more evidence for efficacy than any other cited component of RSI Why aren’t we doing it routinely for all adult tracheal intubations?
Cricoid force: therapeutic, prophylactic or routine
Click on the article title to read more.
associationofanaesthetists-publications.onlinelibrary.wiley.com
Awful. I'm just going to leave this here: yes, bronchospasm can account for a flat capnograph, but no, you can't assume that's the reason and you must take the tube out or (if that's genuinely dangerous) exclude oesophageal intubation using a bronchoscope. onlinelibrary.wiley.com/share/author...
Safe Airway Society (a not-for-profit org. in Australia & New Zealand; aiming to optimize safe, effective patient care through a collaborative, multidisciplinary approach to airway management across different healthcare roles & settings) leaves X (3.699 followers) Bluesky: @safeairwaysociety.org
International Consensus Guidelines for Preventing Unrecognised Oesophageal Intubation. Free full text in @anaesjournal.bsky.social Supported by @dasairway.bsky.social @safeairwaysociety.org @asahq.bsky.social @rcoanews.bsky.social & many more… www.universalairway.org/puoi/support
Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Universal Management of Airways and international airway societies*
Across multiple disciplines undertaking airway management globally, preventable episodes of unrecognised oesophageal intubation result in profound hypoxaemia, brain injury and death. These events occ...
associationofanaesthetists-publications.onlinelibrary.wiley.com
Yet another case of death from unrecognised oesophageal intubation. The circumstances of the case are tragically similar to previous cases: good clinicians succumbing to cognitive bias. Please familiarise yourself with the guidelines to avoid falling into the same trap. @anzca.bsky.social
Yet another case of death from unrecognised oesophageal intubation. The circumstances of the case are tragically similar to previous cases: good clinicians succumbing to cognitive bias. Please familiarise yourself with the guidelines to avoid falling into the same trap. @anzca.bsky.social
Woman dies after breathing tube mistakenly inserted into food pipe
The 73-year-old suffered an unsurvivable brain injury after the error went unnoticed for 17 minutes during surgery.
1news.co.nz
The most important use of VL is engaging the team. They can see what is happening. Your assistant can see if their airway manoeuvres are helping or hindering. DL is a lonely game.