SupraGlottic Airways

 

The most critical facets of SGA use in critically ill/injured patients are:

  1. Basic competence in placement of the major devices, especially as a 'rescue' in the event of a failed intubation or during a resuscitation scenario if situation (eg. entrapment with limited access) or skill precludes intubation
  2. Ability to trouble-shoot a tricky SGA placement (eg. significant leak or struggle to insert)
  3. Familiarity and expertise with blind intubation through an SGA as a rescue technique (gold standard being the ILMA, but we can include exposure to other devices such as the AirQ, 3gLM etc if we wish)
  4. Familiarity and expertise with the use of the Aintree (or other) exchange catheter and a flexible scope to intubate through an SGA (transitioning from SGA to ETT without losing the airway)
  5. Exposure to the concept of video intubating SGAs, of which the (fairly new) TotalTrack device is the only example on the market (the LMA-CTrach was an example, but is no longer available

Here is Ross's fantastic information on Supraglottic Airways