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Evaluation of Paramedic Utilization of the Intubating Laryngeal Mask Airway in High-Fidelity Simulated Critical Care Scenarios


Ok more journal reading this month!
The other week I used this device, Fastrach ILMA , after a failed direct laryngoscopy attempt, so this article is apt I thought.

With the plethora of Video intubation aids/devices and our increasing obsession on getting the perfect intubating view, it is salient to remind ourselves that there are effective blind methods of intubation! Of course there are going to be cases where visual inspection of the larynx is a really GOOD idea! Like in foreign bodies causing obstructed airway, epiglottitis, tumours!

But this study..and many studies before it , confirm the usefulness of the Fastrach ILMA in simplifying training for emergency ventilation and intubation at the hands of paramedics in this study, but in anyone’s hands , in my view.

Its two devices combined into one. A LMA as well as an intubation device. And it does not require electricity! And it costs less than $200.

Here is the article abstract!

Evaluation of Paramedic Utilization of the Intubating Laryngeal Mask Airway in High-Fidelity Simulated Critical Care Scenarios

The study , although simulation/mannikin based, shows that even 1 yr after initial training, paramedics could intubate with the Fastrach ILMA with significant success! 100% is not bad!

One Comment Post a comment
  1. Agree Minh. I am thinking it might go something like do first attempt by DL (helps deal with fluid and FB in airway easiest), if miss insert LMA while DL in (faster and part of plan to hand to intubator if missed airway, tongue control/jaw thrust by DL would help LMA insertion?), then intubate over or through the LMA (ISIS or iLMA depending on what you have available, iLMA preferable)

    September 26, 2013

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