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LMA Supreme™ Training

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LMA Supreme Training LMA North America Inc. The LMA in EMS Rescue Airway use in EMS Market has been predominantly Combitube Studies show that Combitubes aren ... – PowerPoint PPT presentation

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Title: LMA Supreme™ Training


1
LMA Supreme Training
  • LMA North America Inc.

2
The LMA in EMS
  • Rescue Airway use in EMS Market has been
    predominantly Combitube
  • Studies show that Combitubes arent as
    efficacious as once thought
  • Endotracheal intubation in the field is
    controversial as well
  • A better backup/rescue airway is desperately
    needed

3
LMA History
  • The Laryngeal Mask Airway (LMA) was invented and
    designed by Dr. A.I.J. Brain in London in 1981.
    He identified the need for better safety,
    reliability and the ease of insertion of airway
    management devices.
  • Introduced to the U.S. anesthesia market in 1992
    and to the emergency market in 1996
  • Included in and supported by the American Heart
    Association Resuscitation Guidelines
  • More than 300 million uses worldwide
  • Currently used in 40 of all surgeries
  • Supported by over 3,000 published references and
    growing

4
What is an LMA?
  • Supraglottic, non-invasive airway management
    device
  • Comprised of three main components
  • Airway Tube
  • Mask
  • Inflation line
  • Mask designed to conform to the contours of the
    hypopharynx with its lumen facing the laryngeal
    opening
  • Designed to maintain/temporize an airway in
  • Patients with immediate need of an airway
  • Patients with failed tracheal intubation or in
    whom tracheal intubation is not an option
  • Patients in whom the benefit of establishing an
    airway outweighs the risk of regurgitation and/or
    aspiration

5
LMA Placement
  • When fully inserted using the recommended
    insertion technique, the distal tip of the LMA
    cuff presses against the upper esophageal
    sphincter
  • Its sides face into the pyriform fossae and the
    upper border rests against the base of the tongue

6
The LMA in EMS
  • Cardiac arrest
  • Near drowning
  • Drug overdose
  • Trauma including patients with serious facial
    or head trauma
  • For rescue ventilation after failed intubation
  • Inability to maintain an airway or oxygenation
    especially where rapid control is essential

7
2005 AHA Guidelines on Ventilation
  • BLS - The LMA is an alternate airway for
    providers not trained in intubation
  • ACLS - Studies suggest that the LMA can be
    inserted safely and can provide ventilation that
    is as effective as bag-mask ventilation (Class
    IIa).
  • PALS -When endotracheal intubation is not
    possible, the LMA is an acceptable adjunct for
    experienced providers (Class IIb)
  • Neonatal The LMA is an alternative in cannot
    intubate, cannot ventilate situation

8
LMA Advantages
  • Advantages over other Rescue Airways
  • Fast, easy insertion
  • Less invasive and less traumatic for patient
  • Higher first time placement rates
  • Shorter time to achieve an adequate airway
  • Less invasive of and less traumatic to
    respiratory tract
  • More reliable seal for successful ventilation

9
LMA Supreme the Right Device!
10
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11
LMA Supreme
  • Benefits of LMA Supreme in EMS
  • Fast
  • The LMA Supreme is fast and easy to insert.
    Successful insertion can be attained in seconds
    even with novice users.
  • Simple
  • The LMA Supreme is simple to use and requires
    minimal training to achieve success. Every LMA
    Supreme comes packaged sterile, new, and ready
    for one-time use when you need it.
  • Dependable
  • You can depend on the LMA Supreme to fit
    properly and ventilate sufficiently due to its
    superior design and proven track record. Stays in
    place during transport.

12
LMA Supreme
  • Indications
  • The LMA Supreme is indicated for use during in
    emergency procedures in which tracheal intubation
    has failed.
  • The LMA Supreme is also indicated as a rescue
    airway device in known or unexpected difficult
    airway situations.
  • The LMA Supreme may be used to establish an
    immediate clear airway during resuscitation in
    the profoundly unconscious patient with absent
    glossopharyngeal and laryngeal reflexes who may
    need artificial ventilation.

13
LMA Supreme
  • Contraindications and Warnings
  • The risk of regurgitation and aspiration is
    minimized as the LMA Supreme offers easy access
    to liquid gastric content.
  • The LMA Supreme should not be used in the
    resuscitation or emergency situation in patients
    who are not profoundly unconscious and who may
    resist LMA Supreme insertion.

14
Instructions for Use
  • Remove LMA Supreme from packaging
  • Remove plastic shell around mask and red tab on
    inflation line
  • Deflate mask
  • Lubricate posterior side of mask
  • Patient in neutral position
  • Hold mask by fixation tab
  • Press tip of cuff against hard palate
  • Rotate device inward with a circular motion
  • Advance airway into hypopharynx until resistance
    is felt

15
Instructions for Use
  • Inflate mask
  • It is recommended to start with half of the
    Maximum inflation volume and continue to increase
    until a seal is achieved.
  • Connect to bag and Ventilate
  • Use Lubrication to insert gastric tube
  • Size 14 french gastric tube for Size 3, Size
    16 french gastric tube for Size 4 and 5
  • Attach suction to end of tube to decompress
    and/or suction stomach
  • Secure with commercial grade tube holder, i.e.
    Thomas Tube Holder (Laerdal)
  • Available in sizes 3,4,5, pediatric sizes coming
    soon!

16
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17
Troubleshooting Tips
  • Determine proper size and insertionteeth should
    be at 50 of bite block for males, and 75 of
    bite block for females
  • Inflate with half inflation volumes. If there is
    leak, inflate to maximum inflation volumes marked
    on airway tube
  • If leak persists, remove mask and go up a size
    and reinsert new mask.
  • Do Not overinflate mask. This will NOT fix the
    leak.

18
Questions?
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