Latest Airway Toy

[Monty Python]

---

Members don't see this ad.

Anybody seen one of these yet? The latest airway toy.

http://www.mdimicrotek.com/prod_salt.htm

 

[cfdavid]

Seems pretty nice. Can anyone think of any limitations to it, or flaws that the video doesn't elucidate??

It seems that if it were that easy to do away with the laryngoscope, it would have been done a long time ago....

 

[drmwvr]

Seems pretty nice. Can anyone think of any limitations to it, or flaws that the video doesn't elucidate??

It seems that if it were that easy to do away with the laryngoscope, it would have been done a long time ago....

Indeed. Even the Fast trach lma has a manipulating handle for fine tuning the approach of the tube to the glottis. I think the standard approach for intubating with a plain LMA (the gold standard supraglottic airway) is to use the fiber optic bronchoscope. It's another addition to the airway gimmick heap of history, IMO.

 

[Monty Python]

Anybody seen one of these yet? The latest airway toy.

http://www.mdimicrotek.com/prod_salt.htm

I saw it advertised in a paramedic/EMT magazine. The company said they're almost ready to sell them, but not quite yet. I was hoping someone on this forum had been involved in a clinical trial.

 

[poresofkohn]

I saw it advertised in a paramedic/EMT magazine. The company said they're almost ready to sell them, but not quite yet. I was hoping someone on this forum had been involved in a clinical trial.

>
They sure have hit a homerun with the sales pitch...."Pass the S.A.L.T." LOL!

 

[Licoricestick]

Indeed. Even the Fast trach lma has a manipulating handle for fine tuning the approach of the tube to the glottis. I think the standard approach for intubating with a plain LMA (the gold standard supraglottic airway) is to use the fiber optic bronchoscope. It's another addition to the airway gimmick heap of history, IMO.

I agree - and even with the handle and the bar that's supposed to lift the epiglottis the iLMA in an abnormal airway can be useless.

I guess they're aiming this more at a paramedic level where FOBs aren't available.

Also wondering what happens when someone actively vomits with the device in place as a purely supraglottic airway - looks to me like it might facilitate aspiration in that case.

Interestingly I did a quick search and can find NO literature yet on this device and nothing on the manufacturers site has any comment on success rates of intubation, risks/contraindications, or any of the practical stuf like how wide does mouth opening have to be to use the device, does it come in different sizes etc.

Oh well - time will tell!

 

[2ndyear]

Looks like a good 'field' device. Paramedics have about the worst intubating conditions of anyone anywhere. I shudder sometimes when I see a trauma patient who is 300 lbs with a big neck, in a collar, mouth full of blood, and was intubated in the field (or more likely the back of an ambulance going way too fast down a bumpy road). I know we've all seen the disasters too, but for minimal training these guys do a great job.

 

[dfk]

I agree - and even with the handle and the bar that's supposed to lift the epiglottis the iLMA in an abnormal airway can be useless.

I guess they're aiming this more at a paramedic level where FOBs aren't available.

Also wondering what happens when someone actively vomits with the device in place as a purely supraglottic airway - looks to me like it might facilitate aspiration in that case.

Interestingly I did a quick search and can find NO literature yet on this device and nothing on the manufacturers site has any comment on success rates of intubation, risks/contraindications, or any of the practical stuf like how wide does mouth opening have to be to use the device, does it come in different sizes etc.

Oh well - time will tell!

seems like saliva can slide down onto cords causing spasm much easier than any other supraglottic airway device.

 

[urge]

Looks like a good ol' oral airway with a bigger hole in the middle. I imagine the success rate for intubations will not be that great due to airway variability.

 

[Josh L.Ac.]

what once took minutes [intubation], now takes just seconds!

o rly?