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: […]
‘SGA’ Articles
Once again let us discuss the issue of SGA use and aspiration
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
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
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?
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
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?
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
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 […]
Associate Professor of Anesthesiology at the University of Florida; I did my residency then fellowship in Cardiothoracic anesthesia, completed a Masters In Education at UF in 2012 and have been a UF/VA staff anesthesiologist since 2000. I was also the Director of the Master of Education Fellowship from the C.O.M. until the course was terminated. I am responsible for the Difficult Airway Rotation at the UF and Airway Management Services at the NFSGVHS. My interests include: 1-Airway related topics 2-Education about Airway management 3- Resident training in Airway management 4-Non-Anesthesia providers airway training and education 5-Education in general and specifically technology in education.
