Airway Educational Project

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‘SGA’ Articles

Are we ignoring this important issue? Will this change our practices in the future?

Posted: Jan 26th, 2010 •• Category: Devices, SGA

In an upcoming issue of Acta Anaesthesiologica Scandinavica the following article will appear ( I am including the abstract). I must confess this concern about SGA’s -that perhaps should be extended to all of them- had not been on my radar screen for quite a while. Any comments? “Exposure to anaesthetic trace gases during general¬†anaesthesia: […]

Once again let us discuss the issue of SGA use and aspiration

Posted: Nov 7th, 2009 •• Category: SGA

As discussed here before, we are fairly conservative with regards to SGA use and surgery for a variety of reasons, but mainly due to fear of the risk of aspiration of gastric contents. At the VA for example who does not report that has GERD? The question is do we really know if an SGA […]

RSA… I do not know if I like this one

Posted: Oct 26th, 2009 •• Category: SGA, Techniques, Trauma

Several posts in this site have dealt with controversies surrounding RSI. There are many unsolved issues (cric vs. no cric, ventilate vs. not ventilate, to use N.M relaxants outside the O.R vs. not use them, etc…) the truth is that more questions than answers exist. But how about this new concept coined in 2007 by […]

The LMA “classic” is it a secure airway

Posted: Sep 22nd, 2009 •• Category: SGA

I read this somewhat interesting letter to the editor in the latest issue of Acta Anaesthesiologica Scandinavica, and it caught my attention. I believe this has to do with the fact that in airway management topics, there are more “factoids” than actual “facts”. Believe it or not I posted this question to some of the […]

But the patient has GERD… Can and should you even consider a SGA?

Posted: May 22nd, 2009 •• Category: SGA, Techniques

If you have followed the blog, perhaps you have read the articles that deal with the issues of GERD and airway instrumentation. This article deals with this issue again. I suspect that it will lead to controversy… bring it on! SGA and increased esophageal pressure

Expanding Role and importance of SGA’s (LMA in particular) for Airway Management

Posted: May 19th, 2009 •• Category: Education, SGA, Techniques

As discussed with some of you, we live, work and train at a place that is ultra conservative in the use of SGA’s for airway management. In the “real world” the role of SGA’s and the LMA is different and expanding. We have to learn from these people and their experiences. Be open minded. Look […]

Oh, oh… what about aspiration and the use of SGA’s?

Posted: Feb 28th, 2009 •• Category: Education, SGA

The anatomical proximity and shared structures between the respiratory and alimentary tracks, make sense -of course- for many of our evolved biological functions; but from the airway management point of view, it actually brings formidable challenges. The possibility of aspiration of gastric contents and pharyngeal secretions and blood, has been the focus of tremendous attention […]

The use of the LMA as a Rescue Airway Device

Posted: Jan 17th, 2009 •• Category: SGA, Techniques, VideoLaryngoscopy

The LMA is considered to be one of the most important developments in airway management and serves many purposes:Definitive airway, alternative to BMV and intubation, as rescue devices and as a conduit for intubation. The Fastrach LMA or Intubating LMA (ILMA) was released in 1997. READ POST lma-as-rescue device RECOMENDED ABSTRACTS:lma-fastrach1/ lma-fastrachlma-and-da1/ laryngeal-tube1 laryngeal-tube-review1/ lma-fastrach […]