Airway Emergency: Start With The Basics of Airway Management

A case of “can’t intubate- can’t ventilate is discussed which illustrates the importance of always using good techniques of basic airway management. Read More …

Alert: We May All Be Over-Inflating Our LMA Cuffs!

The laryngeal mask airway, or LMA, is so commonly used, and so apparently safe, that it’s easy to become complacent. Research is showing that it’s apparently very common for us to over-inflate our LMA cuffs — to the potential harm of our patients. This article discusses some of the risks of overinflation, the predispositions to overinflation, and some of the strategies to avoid it. Read More …

Potential Tongue Ischemia with LMA Supreme

When we place anything in the mouth, be it an endotracheal tube, oral airway or LMA, we are typically extremely careful to protect the teeth. We take care to avoid cutting the lips with the teeth. But we often take the safety of the tongue for granted. I recently recognized a potential problem while using an LMA supreme that could have caused tongue ischemia if not recognized and corrected. Read More …

LMA Supreme: Great Invention But Insert It Gently

Ease of insertion, presence of a gastric port, and the option for using higher ventilatory pressures make the LMA Supreme more versatile and applicable for use in higher risk patients. This article will discuss the differences between the LMA Supreme and The Classic LMA, detail how to insert the Supreme to optimize positioning in the oropharynx and provide guidance on how to avoid patient injury. Read More …