How to properly insert Supraglottic Airways SGAs LMA, Combitube, King LTS-D Tube?
Вставка
- Опубліковано 2 лют 2021
- Manufactures instructions:
Laryngeal Mask Airway LMA
www.lmaco-ifu.com/sites/defaul...
Combitube® esophageal/tracheal double-lumen airway
www.quadmed.com/files/9b9795d...
King LTS-D Tube
www.narescue.com/downloadable...
The inventors of the Combi and King tubes are geniuses!
Thank you, sir. Very clear video and instruction. I also realize that I need to go read about the insert with the Thomas tube holder!
You are welcome, glad it was helpful! I have a separate video on Thomas tube holder that explains the rationale on positioning and has links to manufacturers instructions in the video description: ua-cam.com/video/rpoWIBnRK3A/v-deo.html
Николай, Вам спасибо большое!Очень информативно! Удачи!😁👍🍀
Спасибо за просмотр!
Thank you for making this video!
Glad it was helpful!
О, ну наконец-то нормальное видео. Спасибо большое из Канады!
I am glad! Thank you!
nice video, great job
Great video, thank you!!!
Glad you liked it!
Thank you Niolay!!
You are welcome!
Thanks, this video helps explain a lot 👍
You got it! Thank you for watching!
Excellent video 🎉
Thank you very much!
thank you for the video. it helped
Glad it helped!
Thank you a lot!
You're welcome!
Another banger! I’m a big fan of the Combitube but it’s not utilized very often for some reason. Your thought on them?
Endotracheal intubation is the gold standard of definite airway management, in addition GSAs offer variable level of aspiration prevention unlike ETI with LMA being the worst compared to the KING and Combi. Aim for ETI if you have adequate resources and use SGAs as a rescue airway if unable to intubate. Only time I would consider SGAs first if I had very limited resources i.e. one medic and one emt team working an arrest with no other resources available and need allocate my time to tasks which are a higher priority. Combi, King, LMA will depend what your agency buys and carries, usually they will get only 1 SGA, so practice using all 3. I prefer KING LTS-D over Combi, one port to inflate and that will be faster.
Thank you for taking the time to answer my question. You make very excellent points and I agree ETI is the gold standard of airway management. Love the videos. Stay safe, brother.
Good video! Thanks for that. Maybe explain what you prefer to use out of the three. I'm a fan of the King. I was never trained on the Combitube or LMA.
Thank you, glad you found it useful. To be honest I prefer to intubate when the patient meets indications, this retains direct laryngoscopy muscle memory skills, it's the gold standard, and will provide better protection from possible aspiration. There are however, situation when you can't intubate, or have no back up (i.e single medic fly car responding to an arrest) in those cases I prefer the King LTSD. King provides better protection from aspiration than LMA, and unlike the Combi has only 1 pilot ballon to inflate. In addition, there is less confusion for BLS and receiving facility which port to ventilate because King has only one.
@@criticalcareift Awesome feedback.
Thank you
You're welcome
Thanks for the video. I am wondering, how do you know that the vocal chords are relaxed so that nothing is damaged?
You do not. The SGA are generally placed in the esophagus and it's blind insertion (you do not have a laryngoscope blade visualizing the vocal cords), sometimes inadvertently (not their main intention) they get placed into the vocal cords. That in an inherent risk, but it's warranted when the patient has airway compromise, ventilation/oxygenation issues and you must support their breathing through this devise or they will die, then any damage to the vocal cords is trivial.
@@criticalcareift thank you that's kind of what I thought but wanted to verify
Can i connect the lts-D supraglottic tube dirrectly to bvm or i need this thing you place btw them?
Are you referring to ETC02 adapter? Yes, you can use it without it, but you won’t get ETC02 readings which is a must!