If you use the ETT that comes with the fasttrach: it’s longer and less likely to get hung up against the artenoids. Don’t like the aintree because 7.0 is the smallest that will fit. I just insert the tube midway into the LMA, inflate the cuff and ventilate whiles manouvering the scope through a bronch adapter If you want to remove the LMA after the tube is in, but don’t have the fasttrach stabilizer thingie just use a second smaller uncuffed tube for that instead
Hi there. You should use the fiberoptic scope if you're using the Aintree tube exchanger. It is probably possible without the fiberoptic scope, but it would be a "blind" technique, which means that you wouldn't know for sure that it was going into the trachea. You could cause a lot of airway trauma and bleeding if it were running into the soft tissues of the pharynx. Using the fiberoptic scope allows you to go directly into the trachea with confidence and with as little trauma as possible.
Why not put the tube through the lma using the scope, remove the scope, put in a regular tube exchanger, remove the tube and the LMA and then thread in a regular tube using the exchanger.
Is there any reason why LMA couldn't be used in a surgery? Any reason an endotracheal tube would be preferable or required? Is LMA only for short operations?
Great questions. An LMA is often used in place of an endotracheal tube. In other words, not every patient needs to be intubated. There are many factors that go into the decision as to whether to use an LMA or ETT. I'll mention just one. If a patient is considered "full stomach," we will put in an endotracheal tube, because the tube will prevent gastric contents from entering the lungs in case a patient were to vomit.
TY I 've a question , is it possible use 1/ LMA and after 2/ just introduice the blue aintree tube exchanger directly in the LMA ( without using the fibroscop ) thank you patou I'm a nurse , in a burn center ,
What if doing all the variants of the mentioned procedures takes : 5, 6 , even 10 minutes, the patient will quickly become acutely and dangerously desaturated. I have seen difficult intubation procedures lasting circa 10 minutes without anyone attempting to ventilate the patient. Looks beyond horryfying .
I would never have an intubation attempt go that long without ventilating a patient. The benefit of intubating through an LMA is that you can ventilate whenever the patient desaturates. I don't know where you observe the practice of anesthesia, but I can't fathom someone attempting an intubation for 10 minutes without an attempt to ventilate a patient. I agree that that would be horrifying.
Hey thanks for the compliment. I REALLY hope to get more uploaded here in the next few months. A lot of projects going on but not enough time.
never heard of the first one. good to see a visiual of what i have been studying to pas my crt exam
If you use the ETT that comes with the fasttrach: it’s longer and less likely to get hung up against the artenoids.
Don’t like the aintree because 7.0 is the smallest that will fit.
I just insert the tube midway into the LMA, inflate the cuff and ventilate whiles manouvering the scope through a bronch adapter
If you want to remove the LMA after the tube is in, but don’t have the fasttrach stabilizer thingie just use a second smaller uncuffed tube for that instead
merci
yess I agree, it is, with fiberoptic ,, secure
have a nice sunday
patou
Hi there.
You should use the fiberoptic scope if you're using the Aintree tube exchanger. It is probably possible without the fiberoptic scope, but it would be a "blind" technique, which means that you wouldn't know for sure that it was going into the trachea. You could cause a lot of airway trauma and bleeding if it were running into the soft tissues of the pharynx. Using the fiberoptic scope allows you to go directly into the trachea with confidence and with as little trauma as possible.
Why not put the tube through the lma using the scope, remove the scope, put in a regular tube exchanger, remove the tube and the LMA and then thread in a regular tube using the exchanger.
Why not to use scissors and cut the ventilatory limb of LMA about 5 cm from the distal end and proceed with endoscopic intubation?
Excellent videos my friend
damn this was 11 years ago. nice video btw
Do you know if the aintree catheter will fit over the glidescope or other brands of intubating fiberoptic scopes? I’m thinking probably not.
Is there any reason why LMA couldn't be used in a surgery? Any reason an endotracheal tube would be preferable or required? Is LMA only for short operations?
Great questions. An LMA is often used in place of an endotracheal tube. In other words, not every patient needs to be intubated. There are many factors that go into the decision as to whether to use an LMA or ETT. I'll mention just one. If a patient is considered "full stomach," we will put in an endotracheal tube, because the tube will prevent gastric contents from entering the lungs in case a patient were to vomit.
TY
I 've a question , is it possible use
1/ LMA and after
2/ just introduice the blue aintree tube exchanger directly in the LMA ( without using the fibroscop ) thank you patou I'm a nurse , in a burn center ,
Thank u so much.. 😊
Thank you .
What if doing all the variants of the mentioned procedures takes : 5, 6 , even 10 minutes, the patient will quickly become acutely and dangerously desaturated. I have seen difficult intubation procedures lasting circa 10 minutes without anyone attempting to ventilate the patient. Looks beyond horryfying .
I would never have an intubation attempt go that long without ventilating a patient. The benefit of intubating through an LMA is that you can ventilate whenever the patient desaturates. I don't know where you observe the practice of anesthesia, but I can't fathom someone attempting an intubation for 10 minutes without an attempt to ventilate a patient. I agree that that would be horrifying.
no new video !
LMA