LMA - Model ProSeal - The Most Versatile Re-Usable Airway
Peace of mind: Passive regurgitation can occur unexpectedly intraoperatively. The LMA ProSeal™ enables the regurgitated fluid to pass up the drainage tube without leaking into the glottis.8. Patient comfort: LMA ProSeal™ reduces the likelihood of throat irritation and stimulation, and reduces post-operative nausea and vomiting by as much as 40% compared to an ETT.9. Performance: LMA ProSeal™ achieves a high seal pressure, with a median seal pressure of 32 cm H2O.10. Aspiration: LMA ProSeal™ has a built-in drain tube that allows expelled gastric content to bypass the pharynx. This specific feature is designed to decrease the risk of aspiration.11,12
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NAP4
Second generation devices, such as LMA Supreme™, come highly recommended in the recently published NAP4 audit conducted by the Royal College of Anaesthetists and the Difficult Airway Society, UK.
Recommendation:
If tracheal intubation is not considered to be indicated but there is some (small) increased concern about regurgitation risk, a second generation supraglottic airway is a more logical choice than a first generation one.
Recommendation:
In patients considered to be at low-risk of aspiration who have other factors that mean that use of a SAD is at the limits of normality (e.g. patient position, access to the airway, patient size) consideration should be given to use of a second generation SAD.
Recommendation:
In view of the above recommendations, and the frequency of these circumstances, it is recommended that all hospitals have second generation SADs available for both routine use and rescue airway management.
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