On Wed, 1 Apr 1998, Sue Kirelik wrote:
> Does anyone have experience with Larygeal Mask Airways as an alternative to
> failed intubations?
As I understand, the LMA is inserted similarly to the ET tube. Thus, you
still need to see the vocal cords prior to insertion (I learned of its use
two years ago, during clinical time in ambulatory surgery). If you can
see the cords, than you should be able to place the ET tube. Correct me
if I am wrong, but the LMA isn't passed through the cords, rather the mask
rests on the cords.
Also of concern would be laryngeal edema, wouldn't this close the airway
at a point inferior to the LMA, thus occluding the airway?
As a paramedic, I would consider a surgical cric. befor the use of an LMA.
If multiple attempts at intubation fail, and you need the airway -
wouldn't chricothyroidotomy(sp?) be the next step?
This is of intrest in the field and under less than ideal conditions,
should it be needed to intubate the pediatric patient, I would want to
know that the care provided (within local protocol) was appropriate.
[log in to unmask] | I will defend to the death | New York State EMT-P
finger for contact | your right to free speech, | Woodstock 94 Medical Team
information. | You shall be free | Learn CPR - Ask me how!
<All unsolicited E-Mailers (spam) will be charge a $20 processing fee>
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: