Thread by @AirwayMxAcademy

New DAS airway guidelines presented by Imran and Kariem #wamm2025 in Florence 🇮🇹
Lets hear in the next 90 minutes what is new
@maffygirl @altgm @ProfEllenO @doctimcook @oldandbaffled @dasairway @gunjeet99

Peroxygenation

The new DAS2025 algorithm
@cliffreid @emcrit @EM_RESUS @dasresidents #wamm2025 @jducanto @DaveOlvera1

@cliffreid @emcrit @EM_RESUS @dasresidents @jducanto @DaveOlvera1 Plan A tracheal intubation. The importance of VL, good neuromuscular blockade and peroxygenation is emphasized. And there is a two point check: waveform capnography and visual confirmation

@cliffreid @emcrit @EM_RESUS @dasresidents @jducanto @DaveOlvera1 If intubation fails, prime for eFONA

@cliffreid @emcrit @EM_RESUS @dasresidents @jducanto @DaveOlvera1 If facemask ventilation fails, verbalise this to the team and try to grade the difficulty

@cliffreid @emcrit @EM_RESUS @dasresidents @jducanto @DaveOlvera1 Plan B is a second generation supgraglottic airway device. If this is problematic there are 4 options: wake up, intubate via SGA, proceed without intubation or FONA tracheostomy @NaveenEipe @maffygirl #wamm2025 @dasresidents @ProfEllenO @Sajay70

@cliffreid @emcrit @EM_RESUS @dasresidents @jducanto @DaveOlvera1 @NaveenEipe @maffygirl @ProfEllenO @Sajay70 Plan C is a final attempt at facemask ventilation @loes_bruijstens @JSweenen #airway @AirwayTriageApp

@cliffreid @emcrit @EM_RESUS @dasresidents @jducanto @DaveOlvera1 @NaveenEipe @maffygirl @ProfEllenO @Sajay70 @loes_bruijstens @JSweenen @AirwayTriageApp Plan D, eFONA. If unsuccesful, consider extending the incision, continue oxygenation to upper airway

@cliffreid @emcrit @EM_RESUS @dasresidents @jducanto @DaveOlvera1 @NaveenEipe @maffygirl @ProfEllenO @Sajay70 @loes_bruijstens @JSweenen @AirwayTriageApp The recommended technique for eFONA

@cliffreid @emcrit @EM_RESUS @dasresidents @jducanto @DaveOlvera1 @NaveenEipe @maffygirl @ProfEllenO @Sajay70 @loes_bruijstens @JSweenen @AirwayTriageApp So whats new compared to DAS2015?

@cliffreid @emcrit @EM_RESUS @dasresidents @jducanto @DaveOlvera1 @NaveenEipe @maffygirl @ProfEllenO @Sajay70 @loes_bruijstens @JSweenen @AirwayTriageApp

Uncertainties, the limitations of these new DAS2025 guidelines. 📌If patients have a SGA airway plan where do you enter the algorithm? 📌When does plan A start? 📌What is the best eFONA technique. 📌What is the role of ultrasound? 📌How to perform the most optimal RSI technique? @dasairway @doctimcook @SafeAirway @GongGasGirl

@cliffreid @emcrit @EM_RESUS @dasresidents @jducanto @DaveOlvera1 @NaveenEipe @maffygirl @ProfEllenO @Sajay70 @loes_bruijstens @JSweenen @AirwayTriageApp The guidelines team. 👏

The new #DAS2025 guidelines will be published in @BJAJournals @HughHemmings
End of 🧵

Ping @dr_imranahmad

@cliffreid @emcrit @EM_RESUS @dasresidents @jducanto @DaveOlvera1 @NaveenEipe @maffygirl @ProfEllenO @Sajay70 @loes_bruijstens @JSweenen @AirwayTriageApp @BJAJournals @HughHemmings You can all read it here