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Tue Apr 4 18:48:23 BST 2006

Our OR's aren't "going" LMA. They use them on the intermittent case where
they feel the LMA is of some benefit....whatever they feel that benefit may
be. They still tracheally intubate the majority of their patients. The case
load is heavy enough that they manage to "check-off" all of the CRNA
students, MICN nurses, medics, and RT's doing their intubation rotations
that we can throw at them. I'll ask our Anesthesia Director what they use as
their indication, contraindications for use of the LMA, and get back to you.

Keith

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Bjorn, Pret
Sent: Tuesday, April 04, 2006 13:18
To: 'Trauma &amp'
Subject: RE: LMA

Here's the question, then: if your OR's going LMA, how are you going to
train your medics?  Around here, the operating room is about the only place
to get any practice.

Pret

-----Original Message-----
From: Lamb, Keith D. [mailto:KLamb at Christianacare.org] 
Sent: Tuesday, April 04, 2006 11:48 AM
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: LMA

I've never seen an LMA used outside of our OR's. We are a very busy trauma
center, and I've not seen one used in our ED, or by our pre-hospital
personnel. We do however keep one in each of our code boxes, to be used as a
difficult airway adjunct. Hardly seem poised to conquer the globe, at least
in this area.

Keith

-----Origin Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Bjorn, Pret
Sent: Tuesday, April 04, 2006 08:02
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: LMA

The practical applications of the LMA have long since strayed beyond its
design specs.  My understanding is that LMA is used increasingly in
emergency and prehospital applications with great success.  

Moreover, the manufacturer is improving and expanding its product spectrum
approximately every Wednesday.  LMA now supplies airways with ET conversion
enhancements, and even an airway with a built-in, wireless fiberoptic
viewscreen.  

Pretty quick, the tubes will insert themselves.

LMA is poised for global conquest.  

Pret

-----Original Message-----
From: Fontana, David [mailto:DFontana at phcn.vic.gov.au] 
Sent: Monday, April 03, 2006 7:54 PM
To: Trauma &amp; Critical Care mailing list
Subject: RE: LMA

Keep in mind the fact that the LMA was designed for spont vent
anaesthesia on ELECTIVE surgical patients. Not for non fasted trauma
patients or as a rescue airway. It certainly can be used as a rescue
airway in certain circumstances and the fastrach variation is designed
as an intubating airway. It was not designed to replace endo-tracheal
intubation in situations where intubation would normally be indicated!

David R Fontana RN
Dip.App.Sci., B.Nsg(N.Ed).,PGrad.Dip.Adv.Clin.Nurs.(Melb.)
Associate Nurse Manager
Anaesthesia & Post Anaesthesia Care Unit
Frankston Hospital
Melbourne, Victoria, AUSTRALIA
03 9784-7404

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Andrew J Bowman
Sent: Tuesday, 4 April 2006 5:58
To: Trauma &amp; Critical Care mailing list
Subject: Re: LMA

What is the King LT??

And Jules, since most studies show paramedic ETT rates of less than 90%
(and sometimes less than 80%)  we most certainly need a backup (haha)

Andrew (Nurse & medic)

----- Original Message ----- 
From: <jkaymdc at aim.com>
To: <trauma-list at trauma.org>
Sent: Monday, April 03, 2006 3:37 PM
Subject: Re: LMA

>
>
> >>> Is there any DATA which suggests that the risk of aspiration is
> higher with LMA than either endotracheal tube or combitube?<
>
>
> Not that I've seen, I'm going by what the ED physicians and even the 
> anesthsia people are saying, in my little part of the world. Besides, 
> I'm a paramedic, don't ya know I'm not really suppose to need a back
> up??:)
>
>   The King LT is becoming much more the bridge of choice in trauma 
> situations in Iowa. There are a couple of studies being conducted here

> on that.
>
> Jules
> Julie K. Scadden, NREMT-P, PS
> -----Original Message-----
>
>
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