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Welcome to the All-Wales Airway Group
AWAG aims to promote excellence in difficult airway management in Wales by providing a forum for networking and communication, disseminating updates and guidance, helping coordinate training, and fostering airway-related research and audit.
No Trace = Wrong Place
AWAG would like to draw your attention to the risk of oesophageal intubation. This is now an NHS "Never Event". In the absence of a capnography trace, an oesophageal intubation should be assumed, even in cardiac arrest. The following video has been published by the Royal College of Anaesthetists.
New documents have been added to the website under the 'Resources' tab. These include:
A patient information leaflet providing advice on contraception after the administration of Sugammadex - Sugammadex and contraception
Results of an all-Wales audit into post-operative residual neuromuscular blockade - Residual neuromuscular blockade audit
Vacant Trainee Committee positions
The committee for the All Wales Airway Group (AWAG) invites applications for the vacant committee positions of junior specialist trainee rep (ST3 or ST4, 2 posts) and core trainee rep (CT1, CT2 or CT3, 1 post).
AWAG is a group of health care professionals (mostly anaesthetists) in Wales with an interest in difficult airway management. It aims to improve airway management in Wales through providing a forum for networking and communication, disseminating updates and providing training, and fosteri
AWAG is offering financial support of up to £500 to trainees and medical students, who work or study in Wales. The AWAG bursary may be used to support audit, research or professional development within the airway management field. Click here to find out more or to apply.
EAMS 4th Airway Congress
The 4th European Airway Congress of the European Airway Management Society (EAMS) takes place on 5th - 7th October 2017, in Berlin, Germany.
Further information - EAMS hq
The abstract submission deadline is 8th September
AWAG CICO Algorithm
An algorithm has been produced to provide guidance on the management of "Can't Intubate Can't Oxygenate" (CICO). It was initially developed for inclusion in CICO packs at Glan Clwyd Hospital, for use as an aide memoire during this crisis situation. It outlines the "Cannula-first" approach, as described by Dr Andrew Heard, Royal Perth Hospital, which is advocated by AWAG, and taught on our CICO Instructors Courses. The rationale for this approach, and further information, can be found under the "
Earlier this year, AWAG supported a pilot course in Joint Airway Management (JAM) - a joint venture between anaesthetists and ENT surgeons. The aim of the course, held in Swansea, was to train airway management to senior ENT and anaesthetic registrars together.
Rhodri Costello (ENT specialist trainee), who organised the course has produced a report, which is attached below.
Following the success of the pilot, the next course will be open to ENT and anaesthetic trainees from around Wales. Watch thi
AWAG Approach to CICO
The attached presentation outlines AWAG's approach to CICO.
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Awake Videolaryngoscopy Course
A limited number of tickets are now available for AWAG's first awake videolaryngoscopy course. Please visit the event page for more information and to register.
A new version of the Co-Pilot Algorithm has been uploaded. This is a cognitive aid for anaesthetic assistants and ODPs when assisting with a failed intubation or CICO situation. More information can be found on the Co-Pilot Page
AWAG Position Statement
AWAG’s position regarding Plan D of the 2015 DAS guidelines for the management of unanticipated difficult intubation in adults
Since May 2015 AWAG has been trying to standardise the approach to the Can’t Intubate, Can’t Oxygenate’ scenario, across hospitals in Wales. An algorithm was developed in Australia through regular live animal simulation . It is framed around emergency reoxygenation, using techniques that match the anaesthetist’s skill set, and encourages attempts at both cannula and