The Airways Surgicals LMA Supreme Airway is a single use, second generation, gastric access device which forms an effective First Seal with the oropharynx (oropharyngeal seal) and an innovative Second Seal with the upper oesophageal sphincter (the oesophageal seal).
The importance of the Second Seal (oesophageal seal) is significant: it can minimise gastric insufflation and reduce the risk of aspiration, giving you the confidence to go further with a laryngeal mask airway.
First Seal is Important for: ◦ Ventilation performance ◦ Patients with decreased thoracic compliance,in mild to moderately obese patients
Second Seal is Important for: ◦ Improve safety ◦ Active management of digestive tract contents ◦ Reduce the risk of insufflation
These are available in the sizes of: ◦ Size:1 for Neonatal or Infant Patients (<5 Kg), 5 ml, 6FR ◦ Size:1.5 for Infant Patients (5-10 Kg), 8 ml, 6FR ◦ Size:2 for Infant Patients (10-20 Kg), 12 ml, 10FR ◦ Size:2.5 for Paediatric Patients (20-30 Kg), 20 ml, 10FR ◦ Size:3 for Paediatric Patients (30-50 Kg), 30 ml, 14FR ◦ Size:4 for Adult Patients (50-70 Kg), 45 ml, 14FR ◦ Size:5 for Adult Patients (70-100 Kg), 45 ml, 14FR
Supraglottic airway devices (SADs) are devices that keep the upper airway clear for unobstructed ventilation. Laryngeal masks are a type of supraglottic airway which keep a patient’s airway open during the state of unconsciousness and when the patient is under anesthesia. When the laryngeal mask is correctly placed, it sits above the glottis in the hypopharynx region.
Supraglottic Airway Devices (SADs) comprise a vast group of tools designed to provide a means for ventilation, oxygenation and administration of anaesthetic gases during situations of respiratory arrest or in a patient who is submitted to a surgical procedure under general anaesthesia.The laryngeal mask airway (LMA) is an acceptable alternative to mask anesthesia in the operating room. It is often used for short procedures when endotracheal intubation is not necessary.
How to insert a Laryngeal Mask Airway: ◦ First, Deflate The Cuff Properly ◦ Lubricate the Posterior LMA Surface ◦ Slight Flexion of the Head on the Neck Can Help ◦ How You Hold the LMA Matters ◦ Open The Mouth As Wide As You Can ◦ Insert As Far Back as Possible Until It Seats ◦ Be careful With the Tongue