Pre-Hospital Laryngeal Mask Airway Insertion - Mass 2025

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Indications for Laryngeal Mask Airway Insertion LMAs are useful in situations where bag-valve-mask ventilation is difficult: Patients with severe facial deformity (traumatic or natural), thick beard, or other factors that interfere with the face mask seal.
A disadvantage with use of the LMA is the inability to use airway pressures greater than approximately 20 mm Hg to prevent air leaking around the mask and to avoid gastric distention, and therefore it is not an optimal airway device in patients with severe subglottic airway obstruction, parenchymal disease requiring
Current methods to assess LMA placement include the following: auscultation, the leakage test, insertion of a suction tube into the drainage conduit if an LMA ProSeal (Teleflex Medical, Shanghai, China) is used, the bubble test, and fiberoptic examination.
Despite this, significant complications may result from the utilization of an LMA, including laryngospasm, nausea, vomiting, aspiration, and coughing. They may stimulate the gag reflex and, therefore, should not be used in a conscious or awake patient.
The incidence of aspiration with the LMA has been estimated at 0.02%,3 which is similar to tracheal intubation in elective patients.
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People also ask

Laryngeal complications, such as dysphagia and dysphonia, are frequent after tracheal intubation and tracheostomy, and are associated with significant morbidity.
Laryngospasm, nausea, vomiting, arytenoid dislocation, vocal cord paralysis, sore throat, and cough were considered as complications of using LMA.

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