How to properly insert Supraglottic Airways SGAs LMA, Combitube, King LTS-D Tube?

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...

[@adelphotheos]

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!

[@criticalcareift]

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: ruclips.net/video/rpoWIBnRK3A/видео.html

[@alexandrchagin7920]

Николай, Вам спасибо большое!Очень информативно! Удачи!😁👍🍀

[@criticalcareift]

Спасибо за просмотр!

[@vernisvet]

О, ну наконец-то нормальное видео. Спасибо большое из Канады!

[@criticalcareift]

I am glad! Thank you!

[@RosemaryR2728]

Thank you for making this video!

[@criticalcareift]

Glad it was helpful!

[@bradleygonzalez1160]

nice video, great job

[@noahchapman8788]

Great video, thank you!!!

[@criticalcareift]

Glad you liked it!

[@Diana-ch3sh]

Thank you Niolay!!

[@criticalcareift]

You are welcome!

[@benitomartinez4003]

Thanks, this video helps explain a lot 👍

[@criticalcareift]

You got it! Thank you for watching!

[@lailael-jabiri5477]

Excellent video 🎉

[@criticalcareift]

Thank you very much!

[@tonykickerkomp1653]

thank you for the video. it helped

[@criticalcareift]

Glad it helped!

[@yuliakraleva1795]

Thank you a lot!

[@criticalcareift]

You're welcome!

[@sinclair657]

Thank you

[@criticalcareift]

You're welcome

[@charleskhenry]

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.

[@criticalcareift]

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.

[@charleskhenry]

@@criticalcareift Awesome feedback.

[@brich5314]

Another banger! I’m a big fan of the Combitube but it’s not utilized very often for some reason. Your thought on them?

[@criticalcareift]

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.

[@brich5314]

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.

[@alimenhem3348]

Can i connect the lts-D supraglottic tube dirrectly to bvm or i need this thing you place btw them?

[@criticalcareift]

Are you referring to ETC02 adapter? Yes, you can use it without it, but you won’t get ETC02 readings which is a must!