What is an Ilma?
DESCRIPTION OF DEVICE. The ILMA is a modified version of the LMA, which, in addition to permitting ventilation, is designed to facilitate blind tracheal intubation with a tracheal tube in an obtunded or anaesthetised patient.
When are Lmas used?
Elective ventilation: The laryngeal mask airway (LMA) is often used for short surgical procedures in which endotracheal intubation is not necessary. Difficult airway: In some patients where endotracheal intubation fails, the LMA can be used as a rescue device for maintaining the airways.
Can you intubate through an I gel?
I-Gel® was introduced as a ventilating device and subsequently became one of the few SADs which can be used as a conduit for intubation.
Can nurses insert Lmas?
The LMA has been successfully used by nurses during cardiopulmonary resuscitation (Baskett, 1994). Ventilation using a bag/valve/LMA device is more efficient, and certainly easier, than the conventional bag/valve/mask device, and the incidence of regurgitation is lower (Resuscitation Council (UK), 2000).
Which Lmas Can you intubate through?
Intubation through an intubating LMA such as the LMA Fastrach produces higher success rates than intubating through a standard LMA (approximately 95% and 80%, respectively). The LMA Classic and LMA Unique limit the size of the endotracheal tube (ETT) that can be passed. A 6.0 ETT fits through LMA sizes 3 and 4.
Is Igel a LMA?
The i-gel is a disposable supraglottic airway device with a noninflatable cuff, and the laryngeal mask airway (LMA) Classic is a reusable device with an inflatable cuff.
What kind of airway is an intubating LMA?
the intubating LMA (Fastrach™) is a specially designed supraglottic airway device (SAD) that can be used as a conduit to facilitate intubation
When to use the intubating Laryngeal mask airway?
The intubating laryngeal mask airway after induction of general anesthesia versus awake fiberoptic intubation in patients with difficult airways. Anesthesia and analgesia. 2001;92 (5):1342-1346.
When to pull ett back after Ilma insertion?
ETT is often in too deep following insertion via an ILMA, ETT often needs to be pulled back (check the distance at the teeth and confirm on CXR) Video from HQMEDED demonstrating insertion of iLMA, intubation through iLMA and removal of iLMA: This opens in a new window.
Can a fastrach be used as an intubating airway?
the intubating LMA (Fastrach™) is a specially designed supraglottic airway device (SAD) that can be used as a conduit to facilitate intubation e.g. patients with known cervical spine injuries (ILMA use results in less spinal movement than direct laryngoscopy)