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 corrected. Let we show you what happened so you can be on guard with your own patients.  Continue reading

LMA Supreme: Great Invention But Insert It Gently

I really like the LMA Supreme, which is a next generation LMA, or laryngeal mask airway. 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. However, if you’re a fan of using alternative placement techniques for inserting the the Unique LMA, or its reusable version the Classic LMA, it can be a little challenging to use. Also, if you aren’t careful you can give your patient a nasty cut on the lip during insertion. How does the Supreme differ from the Unique? Continue reading