AIRWAY MANAGEMENT

LMA

 

1.     Discuss construction of device and operation

a.       inflatable distal end similar to face mask which is placed in the hypopharynx then inflated

b.      Bag valve device at other end provides ventilations similar to ET tube

2.     Discuss advantages of the Combitube

a.       disposable

b.      comes in several sizes

c.       blind insertion requires less skill and training than ET

d.      useful when ET insertion is unsuccessful

3.     Discuss disadvantages of the Combitube

a.       comes in many sizes however EMS systems commonly only carry 3

b.      does not isolate the trachea

c.       does not protect the airway from regurgitation and aspiration

d.      cannot be used in patient with gag reflex

e.       cannot be used in conscious or semi-conscious patient

4.     Demonstrate preparation and insertion

 

Practice with each student