Thread by @dastrainees

Specific airway concerns - facial swelling from proning, very PEEP dependant and body habitus concerns - making transfers of COVID-19 patients more challenging #DAS2022

Airway triage crucial for deciding which patients to transfer - ruled out difficult intubations, maintaining patient safety, sedating and paralysing patients for the transfer and ensuring the tube was well secured #DAS2022

Remember your primary physics - air filled cuff will expand with aeromedical transfer! #DAS2022

SOP for loss of airway was a vital safety feature - declare a critical incident, notify the pilot, doctor to the airway and use the airway "cell" which included all the equipment needed to intubate the patient in an emergency #DAS2022

Using an iGel early to manage the airway in an emergency, if good seal the decision was that it would be left in situ. If not - use of a videolaryngoscope for 2 attempts and if unsuccessful eFONA. No loss of airways occurred but SOP and simulation vital to prepare #DAS2022