2015 Trumbull Memorial Hospital Demo

Supraglottic Airway

Supraglottic Airway

Clinical Indications:

 Failed intubation attempt  Unresponsive patient in need of ventilatory assistance  Bag mask ventilations are delivering insufficient volume despite clearing the airway and OPA/NPA placement

Steps

Performed? Yes No

1. Recognize the need for SGA placement, consider clinical indications

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2. Preoxygenate patient as is possible

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3. Prepare SGA device  Ensure appropriate size device based on device chart  Check cuffs for leaks, where applicable  Lubricate device as appropriate per manufacturer’s recommendations 4. Position the head as appropriate to perform a tongue-jaw lift. Consider c-spine precautions. 5. Insert device to the appropriate depth, per manufacturer’s recommendations.  Most modern SGA devices have two to three black lines that serve as a depth indicator 7. Ventilate patient and confirm proper ventilation  Adequate tidal volume  Equal chest rise and fall considering other factors which would prevent this (tension pneumo, flail chest)  Absence of epigastric sounds and presence of breath sounds ☐ ☐ ☐ ☐ 6. Inflate the cuffs with the manufacturer recommended volume of air ☐

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8. Adjust ventilation as necessary  Adjust depth of device, check cuffs, ventilate through secondary lumen, etc

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9. Apply capnography to ensure initial and continued placement

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10. Secure the device with tape or a commercial holder

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11. Continue to ventilate the patient at the appropriate rate

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154

EMR

EMT

AEMT

Paramedic

Extended