Category Archives: Supraglottic Airway

Category: Orotracheal Intubation, Supraglottic Airway, Pediatrics   |   Date:

The updated AHA guidelines indicate an increase in the ventilation rate to 20-30 breaths per minute for children and infants respective in INTUBATED patients. Does this apply to patients who have a supraglottic airway in situ as well? Thank you!

Category: Supraglottic Airway, Trauma Cardiac Arrest, Covid-19   |   Date:

Since COVID supraglottic airways are highly recommended to be placed in a VSA patient prior to CPR. Is this for medical VSAs or does this apply to traumatic as well?

Category: Miscellaneous, Medical Cardiac Arrest, Supraglottic Airway   |   Date:

Question: Good afternoon. I just have a question regarding a VSA patient scenario. If the patient has a pulse with an SGA inserted (patient tolerates SGA) to give ventilations, how many ventilations would I give? 1 every 10 seconds or 1 every 5-6 seconds? And do I also wear an N95 mask?

Category: Supraglottic Airway, Covid-19   |   Date:

During the pandemic, we have been advised to tape over the suction port on King LTs, and now we are switching to iGels, which also have suction capabilities. Are we to tape over the suction port of iGels as well? Furthermore, if the patient is in need of suction, what are the next steps recommended to safely maintain the airway, as only oral suctioning is recommended? Thank you

Category: Combative Patient, Medical Cardiac Arrest, Supraglottic Airway, Covid-19   |   Date:

In keeping with the Covid-19 Cardiac Arrest algorithms can Midaz procedural sedation be applied to SGA similar to how it is used for ETT maintenance post ROSC should the pt increase gcs during the ROSC?

Category: Supraglottic Airway, Oxygen Therapy, Covid-19   |   Date:

So, just to be perfectly clear, as I have heard this in a round-about way from a few sources... We are not to use high concentration/High Flow oxygen via a BVM with a VSA patient without inserting an SGA - so when treating a VSA pt, we go directly to the SGA without ever using an OPA or NGA, correct? And what are our options if the SGA fails after 2 attempts and we do not have any extra hands to ensure a tight seal on the BVM mask - do we ventilate at all, or just administer compressions and carry on?

Category: Supraglottic Airway, Covid-19   |   Date:

When dealing with a patient who is VSA due to a complete foreign body airway obstruction, what is recommended in regards to ventilations and OPA use (during this COIVD-19 pandemic) since “inability to clear the airway” is a contraindication of SGA use.

Category: Medical Cardiac Arrest, Supraglottic Airway, Covid-19   |   Date:

In a previous response to a question, it was mentioned that the SGA is an effective way to create a closed system and reduce risk of aerosolization when ventilating. Would it then be reasonable to go directly to the SGA in the setting of VSAs, to further protect all those involved in the resuscitation from possible aerosolization with an OPA/BVM?

Category: Supraglottic Airway, Oxygen Therapy, Covid-19   |   Date:

Questions regarding intubation. Should we be opting for aggressive airway management with intubation or SGA on VSA patients as well as severely obtunded non-asthmatic patients where patient presentation would allow? Should this take precedence over ACLS drugs during cardiac arrest? When intubated with inline filter in place are we permitted to BVM an normal rate?

Category: Supraglottic Airway, Covid-19   |   Date:

Question: The latest Memo regarding oxygen delivery states "IN ALL CASES where adult patients require high concentration oxygen, use high-concentration/low flow masks with a hydrophobic submicron filter" and then later reads that high concentration oxygen be avoided unless SGA. The instructions for the FLO2MAX mask our service carries instructs you to set the oxygen flow-meter to 15lpm, or to level prescribed by a physician. What do you recommend we set the flow meter at if we use these masks?

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