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Fri Sep 1 00:28:41 BST 2006

Mmmm! Evidence that the ILMA is really better in terms of aspiration.....very limited at best?!

LMA, ILMA, AMD and Combitube are NOT definitve airways and all risk aspiration, yet they are all used to an ever increasing extent in all areas of resuscitation and we have not seen a huge rise in aspiration pneumonia in our ITUs. None of them are 100%, but you overstate the genuine risks.

We used ILMA pre-hospital for several months and then abandoned it as unecessary, over-complicated and over-rated.

Our team like and stick to the basic LMA as it is simple and easy to use without any thought. I have seen too many 'trained' and 'experienced' people in our trauma simulation sessions struggling to figure out ILMAs and combitubes when under pressure. I would hate to see how they manage such devices when it is 'real'. 

keep it simple and safe if you wish to reduce risk.

Regards
Mark F
UK

----- Original Message ----
From: Mike <mmackinnon at cox.net>
To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org>
Sent: Thursday, 31 August, 2006 11:43:53 PM
Subject: Re: WHAT DO YOU SUGGEST ?

you know what LMA stands for?

Let eM Aspirate.

LMAs have no place in EMS.  ILMAs are the best choice or even a combitube 
will protect against aspiration better than an LMA.

m
----- Original Message ----- 
From: "MARK FORREST" <atacc.doc at btinternet.com>
To: "Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>
Sent: Thursday, August 31, 2006 3:06 PM
Subject: Re: WHAT DO YOU SUGGEST ?

> LMA......simple, quick, reliable and easy to convert to 
> intubation/definitive airway as soon as possible...why struggle!
> Mark F
> Anaes/Crit Care Cons,UK
>
>
> ----- Original Message ----
> From: ofiara at comcast.net
> To: trauma-list at trauma.org
> Sent: Thursday, 31 August, 2006 10:03:42 PM
> Subject: WHAT DO YOU SUGGEST ?
>
>
>>From an EMS standpoint, with the various pt.population,(old to young). 
>>Reasons for an advanced airway:(trauma-medical-burns), and the places you 
>>may be intubating,( the box, a darkly lighted small room in a house-on 
>>scene of a MVC), what do you suggust as a back-up to the ETT. A 
>>Combi-tube, a LMA or a bougie ? Thanks  for any input.
>  Larry Ofiara, R.N.
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