Would you put one in knowing that the pt has HCV and you might have to stick your fingers into their mouth to facilitate placement?
I wouldn't. They get a tube every time.
I wouldn't. They get a tube every time.
sure, why not. I cant remember the last time I've had to put my fingers in someones mouth to guide an LMA. About the only reason I do these days is to guide a stubborn OG/NG
An LMA is probably safer than having to remove the ETT at emergence and having the patient coughing and spraying you with his secretions.Would you put one in knowing that the pt has HCV and you might have to stick your fingers into their mouth to facilitate placement?
I wouldn't. They get a tube every time.
With older patients whose pressures can bottom out, it's a finer line to walk between asleep and awake when dosing the prop. Either way, you're sticking your fingers into something sharp where HCV lives. Sounds dangerous to me, but I guess I don't have the big fat balls of a "powermd."
If you don't want to use your fingers to place a stubborn LMA then pull the yankauer off the tubing, place the curved bulbus end of the yankauer on the back of the LMA with the tip against the tip of the LMA and guide it down.
I try to never place my fingers in anyones mouth.
i am not understanding what people mean by "putting your hand into the mouth"
for an lma or intubation don't you scissor open the mouth with fingers agaqinst the teeth? i.e incisors? isnt that the most dangerous part?
Would you put one in knowing that the pt has HCV and you might have to stick your fingers into their mouth to facilitate placement?
I wouldn't. They get a tube every time.
I would slap it in w/out too much worry.
Use double gloves on your left hand (usually the hand that's 'scissoring').
Also in a known HCV/HIV pt I alwys where eyeshields and try to wear those gowns the surgeons wear except turned the other way around.
Of course...the name of the game is universal precautions. That means for everyone.
Would you put one in knowing that the pt has HCV and you might have to stick your fingers into their mouth to facilitate placement?
I wouldn't. They get a tube every time.