MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C86A58.FF59A330" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Windows® Internet Explorer®. ------=_NextPart_01C86A58.FF59A330 Content-Location: file:///C:/1A7812CB/LaryngealMask.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" The Laryngeal Mask Airway

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//////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// //////////////////////////////////////////////////////////////////////////// ////////////////////////////////////////AwAAAAAA ------=_NextPart_01C86A58.FF59A330 Content-Location: file:///C:/1A7812CB/LaryngealMask_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C86A58.FF59A330 Content-Location: file:///C:/1A7812CB/LaryngealMask_files/slide0044.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" The Laryngeal Mask Airway
Please note that these slides were used in an educational session.
·They do not represent an approved course of    treatment by the = AAP, AHA or NRP Steering Commit= tee.
·The use the LMA is not currently recommended in the International Guidelines for Neonatal = Resuscitation.
·The presence of product pictures does not imply AAP, AHA or NRP endorsement of any product. <= /span>
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The Laryngeal Mask Airway
<= /span>
3D"lma
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What we will cover
•What is the Laryngeal Mask Airway?
•How is it placed?
•= What is it’s potential role in neonatal resuscitation? <= /div>
•= What other potential applications can the LMA be used for?
------=_NextPart_01C86A58.FF59A330 Content-Location: file:///C:/1A7812CB/LaryngealMask_files/slide0003.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" The Laryngeal Mask Airway
An Engineering Problem
= •= “…the most crucial action is establishment of adequate ventilation.”&#= 13;
= •= Connect a source of airflow between 2 tubes that are separated by
–10 cm
– 4 potential obstructions
– 2 acute angles
3D"oropharynx
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Two Traditional Options
•Bag-Mask ventilation
–End-to-end connection with the wrong orifice = ;
–Long distance between source and target
–Difficulty maintaining seal
<= span style=3D'mso-special-format:bullet;position:absolute;left:-8.74%'>–= Uses 2 hands
–= Potential obstructions
<= span style=3D'mso-special-format:bullet;position:absolute;left:-7.44%'>–= Air may enter stomach
<= span style=3D'visibility:hidden'>–
•= Endotracheal tube
–Penetrate the correct orifice
–Place a smaller tube inside a small tube <= /span>
–Requires skilled instrumentation
–Potential for trauma to delicate structur= es
------=_NextPart_01C86A58.FF59A330 Content-Location: file:///C:/1A7812CB/LaryngealMask_files/slide0005.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="windows-1252" The Laryngeal Mask Airway
What if= you could…
•Bring the source = of airflow closer to the = target orifice to avoid the = obstructions
•Form a reliable = seal to deliver airflow to= the = larynx without filling the esophagus
•Do it quickly wit= hout = instrumentation
•Avoid placing an= ything past the vocal cords
<= ![if !vml]>3D"airway
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The Laryngeal Mask Airway
•Latex-free, silicone rubber tube connec= ted to an elliptical mask with an = inflatable outer rim
–Standard 15 mm male adaptor
–Pilot tube and balloon attached to the inflatable outer rim
–Bars cover the connection between the tube and the mask&= #13;
–Re-useable up to 40 times (Autoclave)
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An inflatable life raft
= •When collapsed, = it mimics a bolus of food he= ading = toward the upper esophageal sphincter
•When inflated, it covers the laryngeal inle= t
–<= /span>Sits in the hypopharynx
–Forms an end-to-= end low pressure seal wit= h the glottis
= •Placed blindly w= ithout laryngoscopy
3D"lma 3D"raft
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LMA Development
•Invented in 1981 by Dr. Archie Brain
–Plaster casts of cadaveric pharynx
–Noted to be similar in shape to a modified dental anest= hesia mask
•1988 commercially availab= le in UK
<= span style=3D'font-size:86%'>•May, 1991 FDA approved
•Now used in 1/3 of all general anesthesia, > 100 mil= lion surgeries
<= span style=3D'font-size:83%;visibility:hidden'>–
<= ![if !vml]>=3DLMA11
Dr. Archie Brai= n in the LMA Mu= seum
Royal Berkshire Hospital
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