Awake iLMA® intubation

[mariesadler]

Do people ever use this without numbing the throat. For example anaphylactic shock patients?

[plaloe]

@mariesadler - Airways like the intubating LMA can be inserted with people either Awake (1) OR Asleep (2).

(1) For inserting in Awake patients (like in this video) the airway should be numbed AND / OR sedative medicines need to be given. This will depend on the patient's pattern of breathing, the indication for the use of an Awake technique, and the technique of the attending anesthesiologist.

[plaloe]

@mariesadler

(2) For Asleep patients, whether it be a planned general anaesthesia OR an unconscious patient (like in cases of severe head injury, cardiac arrest or severe shock) the throat does not need to be numbed because the whole patient is Asleep.

Why do you ask about anaphylaxis specifically?

[rxfudd]

Holy crap.

My hat is off. You, sir, have gargantuan testicles.

[hopelessxl]

Hey folks..........this is the guy who actually invented this particular form of the device...............those familiar with iLMA insertion techniques must have heard about Chandi maneuvre. And the person who takes a look at the bronchoscope later is Dr. Archie Brain himself........the father of laryngeal mask airway. The gods are all together in this one.

[melbrent]

I'm wondering whether this procedure is slightly traumatising for patients? Any experience using this with the lay person? I'd be interested to hear feedback.

[plaloe]

@melbrent - Thanks for your questions. With proper patient preparation, suitable anxiolytic medication & a considerate approach, these sorts of necessary medical treatments can be carried out safely with relaxed patients. In particular with the judicious use of medication, many patients don't recall the event. Besides, because the local anaesthetic makes it completely painfree (like in this video), it is well tolerated.

[dratuldixit]

Great video!!! Thanks doctor!

[Shellerjc]

Interesting - Thank you for placing this on the internet -

[Shellerjc]

Do u even know what the LMA fastrach can do for you in an emergency?

[remvssf223]

I'm amazed! this guy is awesome! any my Gi doc told me that she was amazed that I let her do a drug-free egd/colonoscopy on me..nothing compared to this!

[COSTPEARL]

really he is a hero

[AJGoldman1]

Superb!

How did I miss this?

Allan

[anestesiaperu]

buen video

[autopilotflight]

fun fun fun, al the way!

[erikamavrich]

well done, like the fathers of Anesthesia, they practise on themselves! amazing

[BernyJones]

Como puede estar despierto!!!!!!!!!

[sandbar3000]

Wow. I don't think I'd want to be awake when someone is doing this to me. I'd gag and gag and gag...I gag when I get simple x-rays at the dentist and it's horrible since they do not understand I have a small mouth! I have been in tears when I gag getting my teeth x-rayed.