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home
definition
evaluation
of the airway
difficult airway algorithm
face mask
tracheal intubation
laryngeal mask
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intubating laryngeal
mask
(ILM)
Insertion technique
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1) Following the
same initial procedures recommended for the standard LM,
fully deflate the cuff of the ILM prior to insertion and
lubricate its posterior surface with a water-soluble gel.
Initiate insertion, by rubbing the lubricant over the
anterior hard palate.
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2)
Swing mask into place
in a circular motion, maintaining pressure against the palate
and posterior pharynx. |
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3)
With the ILM
tube free, inflate the cuff with an air volume just enough to obtain a seal, to
a pressure of + / - 60 cm H2O.
Never overinflate the cuff.
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Maximum Inflation Volumes
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n° 3 |
20 ml |
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n° 4 |
30 ml |
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n° 5 |
40 ml |
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Intubating through
the ILM |
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4)
Lubricate ETT and pass
through ILM tube.
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5)
Carefully advance
until intubation is complete.
Do not use force.
Inflate ETT cuff and
confirm intubation. |
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back to top
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6) Remove connector and
gently ease the ILM out over the ETT into the oral cavity.
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7) Remove the ILM
completely, gently unthreading the inflation line and pilot balloon of
the ETT.
Replace the ETT
connector and and confirm intubation. |
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