List Archives

Wed Apr 5 07:20:44 BST 2006

Indeed the ET tube is a better beast than the LMA
  And the LMA better than the combitube

  But you have to examine the context
  - The Combitube does not need to be tied down
  - His impossible to displace
  - Requires less finess
  - Is more error proof (vital)
  - Allows for decompression of the stomach

   For those reasons

  The combitube is best for BLS EMS & low volume clinic
  It is also perfectly acceptable in ALS EMS (high & low end)
  It remains an excellent Plan B for all others on a relatively equal par with the LMA

  Charles

"Christopher Clarke (CMDHB)" <Chris.Clarke at middlemore.co.nz> wrote:
  Hi, 

I am an ODP aka Anaesthetic Technician From the Uk, now working in New Zealand. 

To prevent risk of aspiration when using LMA, and them getting pushed out, you can use the portex version. Double cuffed, with aspiration tube....and the best bit...they cost the same as the LMA Classic!! (Or they should do if your organisation isnt been ripped off)

Portex LMA's are good, in trauma situations but can have a few user diffuclty issues - i:e double cuffed and the red valve...a lot of people forget to close this valve and therefore get a leak.... also becuase the portexs arent used a whole lot people dont like them becasue they are not familiar with them but they are a brilliant device.

Regards

________________________________

From: Marty Munro [mailto:marty_munro at yahoo.ca]
Sent: Tue 04/04/2006 11:12
To: Trauma &, Critical Care mailing list
Subject: Re: LMA

I'm a paramedic near Toronto Canada. I work in an urban service and rural service, and we use the LMA's in the rural service. We only use them on adult VSAs as we don't intubate in that service. Some people like them and some don't. I like them because up in the rural areas, sometimes we do not get the fire department attending our calls and therefore we may have to one person CPR for 25-30 mins. With the LMA, we can attach our ventilator to it and it at least makes CPR easier. The main complaint people have is that if the patient vomits, the LMA tends to get forced out and then needs to be removed in order to suction the patient.

Marty Munro
AEMCA, PCP

jkaymdc at aim.com wrote:

I really would just like some feedback. How many hospitals use LMAs
in their ED
and what is the opinion on them.

Thanks for your time,

Priscilla Smith, RN
--
We do not use them in the ED. They are used constantly in the OR, which
is loved by anesthesia. To much risk of asperation in the ED with
trauma patients, but we are a small rural area/hospitals. in Northwest
Iowa.

Jules

Julie K. Scadden, NREMT-P, PS
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