LMA insertion

[19PeterF68]

Do they always do this when they perform any kind of surgery?

[fartlek55]

thank you.

[TheJohnnyb19]

@floridamedic2 .. yes they are. even though it is not common practice for an emt-b to intubate, it is still part of their scope of practice. i am a paramedic and i previously used ett's as an emt. you are right, however that they are soon removing it from future emt practice

[ImSoSick04]

this is GREAT,,!!

[Lex8919]

the guy with LMA has just a steady hand!!!!!!! lol

[butuan97]

her hand is shaking lol

[MrDOWNTOWNHO]

so why would you use this instead of an ET tube?

[brendal797]

HUGE ADAMS APPLE

[randallpaulcom]

very good demo

[visualopia]

You can watch this in HD on the Intersurgical youtube channel

[Kartaltepe1453]

Thank you

[Eveattrevi]

The 'patient' was then breathing, and thankfully still was when I met him this week. A great model for our demo video. The comment on gagging is relevant but only if you have not placed the patient under an adequate level of anaesthesia. If used in CPR then if the patient gags then an artificial airway wasn't required in such an event..

[markab26]

he volunteered for this?

[PistolPete2]

Most times, no.

[PistolPete2]

What they don't tell you is that the entire time they are doing this, the patient is

not breathing.

[2100km]

That's exactly what I thought!! Moobs!

[alexwoot5106]

you cannot use the LMA in conscious patients...they would gag and possibly aspirate into the lungs...only on unconsious and unresponsive without a gag reflex

[neojjoen]

the guy there is HOT. haha

[markab26]

he is...would love to meet him

[markab26]

@neojjoen there is something very mysterious and seductive about him. This individual who is asleep and intubated for youtube to see.

[Eveattrevi]

The imaging used to make this was double image animation. It involved a kind of overlay of an airway management training manikin which was then superimposed in a 'negative' over the outline of the patient. It took a young student ages.

[LamenessFTW]

what kind of imaging is this that they use for the see-through portion? looks kind of like the airport security xrays.

[AlexMD242]

@LamenessFTW : that´s fluoroscopy, and it implies the use of x rays, but with real-time moving images.

[juliemagdalene]

My daughter is 2 and a half and will have one of these inserted for a procedure tomorrow. Are there specific concerns with pediatric patients with this device? I'm a bit nervous.

[Eveattrevi]

It's a bit late to reassure Julie that there are no paediatric concerns with this airway device. I'm sure it went fine.

[azerjaban]

I am a First year RT student, this video is simply amazing. I love how you showed the LMA visually being inserted visually down the patients airway. I always have a hard time visualizing where each airway rests. Again thank you.

Question: the person was unconscious right? I thought I saw him open his mouth manually at 1:02.

[NicholasCourchene]

wouldnt saliva start to build up and then they will swallow if they were awake....his throat doesnt seem to move....so hes probably unconcious

[neviktobias]

I saw the P volunarily open his moth too. I'd be concerned at this point !

Well spotted.

[neviktobias]

Sorry should have checked my spelling before posting. Its ok speed typing if you can do it !

[lycrahoofie]

I woke up and choked on one of these because a trainee did it. The hospital drugged me out before apologizing. Anesthetists are evil.

[gmartinezmd]

is it safe to use the LMA in the ER?

[Eveattrevi]

The major resuscitation bodies of the world recommend that if you don't have the skills, equipment or access in order to intubate then use an LM. 'LMA' incidentally is the registered trade name of the original reuseable silicone device. The one in this video is  very similar but a single use version. The basis behind using an LM is that it offers a level of airway protection which can never be achieved by a facemask, which leaves the upper oesephageal inlet totally unprotected.

[88lemmor]

good commentaries, Kevin Woods!

[Eveattrevi]

And you knew it would throw me. Go on - are you Joanna Lumley or Uma Thurman?

[Eveattrevi]

I'm the fellow who made this video. Comments much appreciated. An interesting one from shadowheliantus. With an LM you don't need to visualise. Blind insertion from any angle providing you use the palatal insertion technique. Keep the two surfaces in constant contact - no real need for finger in mouth but that was the inventors initial advice - and you will achieve a 1st class airway. No introducer tool - no broken teeth. Cuff size selection is the key to success. If in doubt think big.

[shadowheliantus]

TheeOz why do you prefer ET though? I thought LM is a safer alternative for intubation - teethewise speaking. Can anyone enlighten me please ? I haven't used one so I'm thinking the vocal cords and all the other structures can't be seen as easily as with a ET???

[hatcher234]

the guy is cute...

[JDW15217]

Where did they find a volunteer to go under for this?

[1992peter]

I love this video.

Remember to have pleunty of good training before u attempt to do it on a real person.

Good video.

[o2demand]

excellent online video/audio lectures

Account: o2demand

[Aritukenno]

wow, crazy adam's apple, love this job already! :D

[markab26]

who is that guy being intubated?

[carlitosriverita]

NO MAMES LE TIEMBLAN LAS MANOS A MADRES

fucking shit....his hands are shaking jajajaj

not a doctor believe me...

[TheeOz]

I've used both ET & LM, definately prefer ET in a pre-hospital environment.

[zoimu]

hot

[m3w1th1n]

Did they sedate him just for this explanation?^^

[markab26]

I have wondered this myself. Is that guy really asleep, and if so, is this a real surgical procedure?

[karandeep999]

ET Intubation still rules!

[Parmaynu1]

True, but this is still a good demonstration video.

[karandeep999]

Indeed, i could'nt believe the inventor was called Dr. A. Brain!!!

[riyanshetty]

rules but LMA has its own advantages you know that dont you

[hankydoodle92]

Is this dude really under?

[trainjustleft]

He's gay. He's into it. Does self intubation when no one else is available.

[Irateiritis]

LOL!!!

[emadezzi]

it's really amazing no one explained it to me as such a good explanation ..thanks

[lukew232]

his he a sleep with the gas

[shadow14725]

that man has an enormous adams apple

[djdoylemd]

Superbly done!