Supraglottic airway

Revision as of 19:39, 26 June 2015 by Rossdonaldson1 (talk | contribs) (Equipment Needed)

Indications

  • Need for positive pressure ventilation (PPV)
    • Can be used both as primary and rescue airway (if BVM or intubation fail)[1]

Contraindications

  • No absolute contraindications

Equipment Needed

  • Supraglottic Airway (SGA) device (many options exist)
  • Appropriate sedation/paralytic agents, if indicated
Mask Size Weight (kg) Age (yr) LMA Length (cm) LMA Cuff Vol (mL) Largest ETT^ (mm)
1 <5 <0.5 10 4 3.5
1.5 5-10 <1 10 5-7 4
2 6.5-20 1-5 11.5 7-10 4.5
2.5 20-30 5-10 12.5 14 5
3 30-60 10-15 19 15-20 6
4 60-80 >15 19 25-30 6.5
5 >80 >15 19 30-40 7

^Largest ETT that can pass thorough "Intubating LMA" (ILMA)

Procedure

Complications[1]

  • Bronchospasm
  • Hoarseness
  • Laryngeal nerve injury
  • Hypoglossal nerve injury
  • Pharyngeal edema
  • Dysphagia

Follow-up

See Also

References

  1. 1.0 1.1 Apfelbaum JL, et al.; American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2013 Feb;118(2):251-70