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Deflate the cuff of the mask and use a Rotate the mask into place in a circular Inflate the cuff, to a pressure of
water soluble lubricant on the posterior movement, ensuring pressure is maintained approximately 60 cm H2O.
surface. Rub the lubricant over the against the palate and the posterior
anterior hard palate. pharynx. Never use the handle as a lever.
Insertion technique: To insert the LMA™ ET tube (ETT) and remove the LMA Fastrach™
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Hold the LMA Fastrach™ device handle Advance the ETT, inflate the cuff and Fully deflate the LMA Fastrach™ cuff.
while gently inserting the lubricated ETT confirm intubation. Remove the ETT connector and ease the
into the airway shaft. LMA Fastrach™ out by gently swinging the
(The use of standard, curved, PVC ETT’s handle caudally. Use the stabilising rod to
is not recommended.) keep the ETT in place until the tube can
be grasped at the level of the incisors.
lide the ETT gently into the LMA Fastrach™. If no resistance is felt,
S
continue to advance the ETT while holding the device steadily
2 cm
Tube impacting on
Beyond the 15 cm mark on Rotating the ETT bevel may overcome this.
the vestibular wall
the ETT (transverse line):
Without deflating
2 cm Re-optimise
Epiglottis the cuff, swing
Beyond the 15 cm mark on and re-attempt
downfolded the device outward
the ETT (transverse line): intubation
~ 6 cm and re-insert.
Epiglottis is out
3 cm
LMA Fastrach™ of the reach of the
Beyond the ETT Use larger size
too small EEB (Epiglottic
transverse line:
Elevating Bar).
Immediately
With the ETT depth marker LMA Fastrach™
In patients with normal or thin necks: Use smaller size
still visible, or just a few mm too large
into the LMA Fastrach™ tube:
4 cm – 5 cm
LMA Fastrach™
Beyond the ETT In patients with wide short necks: Use smaller size
too large
transverse line:
The Manoeuvres Guide assumes that you are using the straight, silicone, wire-reinforced ETT developed specifically
for use with LMA Fastrach™.
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