@VortexApproach

Implementation tool for airway Mx by @NicholasChrimes. Addresses human factors considerations to facilitate real time use by teams during a crisis.

 Australia
vortexapproach.org
Joined September 2014
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  • Followers3.7K
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This PUMA foundation guidelines rec facilitates implementation of a rec made by ALL guidelines: to limit the number of attempts at ETT & SGA Reliably doing this reqs counting them out loud in real time β€œ1st attempt at intubation” In @Anaes_Journal associationofanaesthetists-p…
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The PUMA Foundation guideline recommends all in-hospital airway practitioners should be able to intubate a patient awake. It doesn’t have to be with a FB; it can be w VL, using a SGA conduit or via the neck. Free full text in @Anaes_Journal associationofanaesthetists-p…
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A message from DAS President Prof Alistair McNarry @altgm Wondering why you should be at #DASWales26? Al has a few very good reasons.. πŸ“… 11–13 November 2026 πŸ“ ICC Wales Please visit das2026.co.uk for further details and to register
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The Vortex Approach retweeted
Dr Rani Chahal@DrRaniChahalAug 30
Replying to @DrRaniChahal @DrHuw @davetheraw @AirwayMxAcademy
Our job as experts is to unpack intuition: What are we seeing? What patterns are we recognising? What makes us change course? The ultimate demonstration of mastery is not knowing what to do, it’s being able to explain why, and teach someone else to do it.
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The Vortex Approach retweeted
Dr Rani Chahal@DrRaniChahalAug 30
Replying to @DrHuw @davetheraw @AirwayMxAcademy
Calling expertise a β€œsixth sense” or β€œmuscle memory” risks turning mastery into mystique. Yes, complex airway management demands experience. But expertise that cannot be articulated cannot be reliably taught, examinedβ€”or improved.
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Technique for hyperangulated videolaryngoscopy. From the PUMA guidelines for providing a foundation for airway management Full free text in @Anaes_Journal associationofanaesthetists-p…
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Neck rescue technique Detailed instructions for training & an emergency guide to prompt implementation From the PUMA guidelines for providing a foundation for airway management Free full text forever in @Anaes_Journal associationofanaesthetists-p…
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Extubation algorithm Helps link evaluation to strategy From the PUMA guidelines for tracheal extubation Free full text forever in @Anaes_Journal at associationofanaesthetists-p…
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Awake extubation sequence. Provide trainees with a framework to approach extubation or use for potentially challenging extubations. From the PUMA guidelines for tracheal extubation. Free full text forever in @Anaes_Journal at associationofanaesthetists-p…
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Airway exchange catheter user guide From the PUMA guidelines for tracheal extubation. Free full text forever in @Anaes_Journal at associationofanaesthetists-p…
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Protective sequence extubation Analogous to RSI at intubation this provides recommended precautions when extubating patients β€˜at risk’ of aspiration. From the PUMA guidelines for tracheal extubation Free full text forever in @Anaes_Journal at associationofanaesthetists-p…
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Management of laryngospasm From the PUMA guidelines for tracheal extubation Free full text forever in @Anaes_Journal associationofanaesthetists-p…
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Extubation checklist From the PUMA guidelines for tracheal extubation Free full text in @Anaes_Journal associationofanaesthetists-p…
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Algorithm for troubleshooting inadequate ETCO2 From the PUMA guidelines for preventing unrecognised oesophageal intubation Free full text forever in @Anaes_Journal associationofanaesthetists-p…
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Criteria for β€˜sustained exhaled CO2’ Provide a clear trigger for identifying when ETCO2 is β€˜inadequate’ From the PUMA guidelines for preventing unrecognised oesophageal intubation Free full text in @Anaes_Journal associationofanaesthetists-p…
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Consensus guidelines for preventing unrecognised oesophageal intubation. The most widely supported airway guidelines ever published. Free full text in @Anaes_Journal associationofanaesthetists-p…

Preventing unrecognised oesophageal intubation: a consensus guideline from the Project for Univer...

Across multiple disciplines undertaking airway management globally, preventable episodes of unrecognised oesophageal intubation result in profound hypoxaemia, brain injury and death. These events...

associationofanaesthetists-publications.onlinelibrary.wiley.com
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The Vortex Approach retweeted
Nicholas Chrimes@NicholasChrimesAug 29
Replying to @doctimcook @UniversalAirway @Anaes_Journal
This line in the Foundation guideline (citing the same paper) paraphrases the comment you made to me that inspired me to lift my HAVL game!
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The Vortex Approach retweeted
Nicholas Chrimes@NicholasChrimesAug 29
Replying to @DrHuw @docmartin22 @AirwayMxAcademy @emedfocus @doctimcook
Exactly why the @UniversalAirway guidelines ask you to instead make an individualised assessment of whether management will be β€˜rapid & reliable’. The words β€˜difficult airway’ do not appear in any of the guidelines.
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Technique for cricoid pressure From the Guidelines for providing a foundation for airway management Full free text forever in @Anaes_Journal at associationofanaesthetists-p…
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The Vortex Approach retweeted
Tim Cook@doctimcookAug 29
Replying to @doctimcook @UniversalAirway @Anaes_Journal
If I might also offer there is something that could be usefully added -head and neck position I believe a key reason folk go on about difficult intubation with good view and difficult tube delivery is failure to position H&N correctly Flextension
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