Of course an engine running out of noise is not the only worry with ETOPS flights.
The B767 we had in Vietnam, used to go Hanoi to Moscow direct, some 11-12 hours non stop and not many "suitable" airports along the way.
One time it had a pneumatic fault on one engine with no pneumatics available from that engine. It had flown all around Asia for several days while we waited for parts, however come time to do the Moscow flight, it could not go.
The reason I hear you ask?
IF the other engine had lost pneumatics too, or had to be shut down, in the worst case scenario which was around Afghanistan, the minimum safe altitude was (from memory) something like 14,000 feet.
So if we had of lost pressurisation, we could not descend to an altitude where people could breathe, and there was not enough oxygen on board to supply everyone until we could land.
We did not have many delays on the route, however we had a delay of just an hour or two in Moscow one day, waiting to go back direct to Hanoi (12 hours) and it was NOTHING to do with the engines at all.
Guess what the problem was, that meant we could NOT depart?
