The LMA Supreme Laryngeal Mask With Aspiration Port 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 second seal (oesophageal seal) minimises gastric insufflation and the risk of aspiration. This provides doctors with the confidence to go further with a laryngeal mask airway
It features a Soft, elongated cuff design to support an effective First Seal and Second Seal
The elliptical and anatomically shaped LMA Evolution Curve (airway tube) facilitates insertion success
The First Seal is important for: ◦ Ventilation performance ◦ Advanced uses of the device such as in patients with decreased thoracic compliance, in mild-to-moderately obese patients and in certain procedures requiring mechanical ventilation where higher seal pressures are required
The Second Seal is designed to: ◦ Improve safety ◦ Secure the distal tip of the LMA Supreme at the upper oesophageal sphincter to maintain the patency of the drain tube ◦ Reduce the risk of insufflation during ventilation ◦ Reduce the risk of regurgitated gastric content leaking around the tip of the mask
The LMA Supreme mask is considered to be used for: ◦ Mild to moderately obese patients ◦ Abdominal procedures ◦ Controlled reflux ◦ Positive pressure ventilation (PPV) ◦ Unexpected difficult airways ◦ Plastic surgery procedures
The mask is available in 7 sizes: ◦ 1, Neonates/Infants (5 kg), 6FR ◦ 1.5, Infants (5-10 kg), 6FR ◦ 2, Infants/Child (10-20 kg), 10FR ◦ 2.5, Child (20-30 kg), 10FR ◦ 3, Child (30-50 kg), 14FR ◦ 4, Medium Adults (50-70 kg), 14FR ◦ 5, Large Adults (70-100 kg), 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