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 Airway Management
Laryngeal Mask Airways

The most advanced single use airway available ...

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Supreme Confidence

The LMA Supreme™ inspires confidence beyond any other laryngeal mask. The integrated drain tube is designed to channel fluid and gas safely away from the airway. Several simple and quick tests help verify accurate positioning.

Supreme Ease

The carefully tested design resulted in an improved curve for easy insertion. Subtle refinements in the mask make correct placement easier. And, every LMA Supreme™ comes packaged sterile, new, and ready for one-time use when you need it.

Supreme Solution

The LMA Supreme™ combines the best features of all previous LMA™ airways in one device. It is simply our most advanced airway device for your airway needs.

Use it everywhere you use a mask and in places where you have been using an ET Tube.

ET tubes carry an inherent risk of patient trauma, from vocal cord damage to pharyngeal soft-tissue injury. Because of ease of insertion and reduced trauma, LMA™ airways have replaced ET tubes in many procedures. With its integrated drain tube and verifiable placement, the LMA Supreme™ is an even more effective alternative. 

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LMA Unique Airways

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For versatility, safety and proven reliability, depend on the LMA Unique™ - the favorite single use airway used in millions of cases by thousands of clinicians.

The LMA Unique™ is one of the most versatile airways. It is the single-use disposable version of our most widely used product, the LMA Classic™ which annually is used in millions of surgical cases nationwide. What makes the LMA Unique™ so versatile is its usefulness in a wide variety of clinical environments. It can be used in the Operating Room, placed on crash carts, used in the Emergency Department and in the pre-hospital on ambulances and other emergency vehicles as a resuscitation device when intubation is not possible. Because it is disposable, it is also one of the most convenient LMA™ airways, especially well suited for areas where stocking a reusable device is not practical or economical. The LMA Unique™ is packaged sterile, ready for use, with lubricant and a syringe.


Clinical Benefits: 

  • Proven performance
  • Convenient, single-use, disposable
  • Rapid, blind insertion (no laryngoscopy)
  • No risk of esophageal or bronchial misplacement
  • Economical
  • Easy to use

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Designed for anticipated or unanticipated difficult airway situations and for cardiopulmonary resuscitation, the LMA Fastrach™ facilitates continuous ventilation during intubation, lessening the likelihood of desaturation.

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LMA Fastrach Airways

Special design features of the LMA Fastrach™ that facilitate intubation, blind or fiberoptic, include:

  • Rigid, anatomically curved, airway tube that is wide enough to accept an 8.0 mm cuffed ETT and is short enough to ensure passage of the ETT cuff beyond the vocal cords
  • Rigid handle to facilitate one-handed insertion, removal, and adjustment of the device's position to enhance oxygenation and alignment with the glottis
  • Epiglottic elevating bar in the mask aperture which elevates the epiglottis as the ETT is passed through and a ramp which directs the tube centrally and anteriorly to reduce the risk of arytenoid trauma or esophageal placement

Other benefits: 

  • Available in three sizes, one size for children, two sizes for adults
  • LMA Fastrach™ comes with a specially designed reusable LMA Fastrach™ ETT

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 LMA_Proseal_Airways_Lskaicare.com_Brunei_Darussalam

LMA Proseal Airways

We understand that clinicians sometimes select an ET tube for optimum airway protection when LMA™ patient-friendly characteristics would be desirable. To enhance supraglottic airway protection and extend LMA™ benefits to a greater number of patients we developed the LMA ProSeal™. The added features of the LMA ProSeal™ include:

  • A softer silicone cuff reducing the likelihood of throat irritation and stimulation
  • High seal pressure - up to 30 cm H20 - Providing a tighter seal against the glottic opening with no increase in mucosal pressure
  • Provides more airway security
  • Enables use of PPV in those cases where it may be required - transient or extended, planned or unplanned
  • A built-in drain tube designed to channel fluid away and permit gastric access for patients with GERD or during extended cases where endotracheal intubation is not required
  • Ability to realize the benefits of spontaneous ventilation more often
  • Optional Insertion tool

This reusable airway has a cuff that is made of a softer material than the LMA Classic™ and is designed to conform to the contours of the hypopharynx. While the LMA ProSeal™ may be used with spontaneously breathing patients, it is designed for use with PPV, with and without muscle relaxants. The maximum airway seal pressure will vary between patients, but is on average 50% higher than the LMA Classic™ or up to 30 cm H20.

Video Training
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The LMA Classic™

The LMA Classic™ is used in nearly every hospital in America for elective, inpatient and outpatient procedures.

The LMA Classic™ was first introduced in the U.K. in 1988 and in the U.S. in 1992 as an alternative to the face mask. Since 1988, it is estimated that the LMA Classic™ has been used in over 100 million patients worldwide. The LMA Classic™ is used in nearly every hospital in the U.S. and has the widest range of sizes (8), from neonates to large adults. The LMA Classic™ is ideally suited for elective, outpatient surgical procedures. It is most often used in spontaneously breathing patients, but can also be used with assisted and controlled ventilation up to 20 cm H20.

Even though it is called the "routine-use" LMA™ airway, it has been used successfully in many urgent and emergency situations, including difficult airways and adult and neonatal resuscitation. The LMA Classic™ owes its success in resuscitation to the ease with which clinicians learn to use the device and long term retention of that learning even if the device is used infrequently. The LMA Classic™is also available in a disposable version called the LMA Unique™.

Clinical benefits: 

  • More secure than a face mask
  • Allows single-handed ventilation
  • Rapid, blind insertion (no laryngoscopy)
  • Only LMA™ airway with full line of pediatric sizes available

Clinicians have successfully used the LMA Classic™ as a conduit for tracheal intubation, especially in the difficult airway situation. Because it was not designed specifically for intubation, the success rates for blind intubation are variable. Therefore, if intubation through the LMA Classic™ is performed, using a fiberoptic scope will increase the likelihood of successful intubation. Ideally, the intubating LMA Fastrach™ should be considered as the best option for blind intubation or the LMA CTrach™ for real time visualization of the intubation.

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 LMA FLEXIBLE

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Expanding LMA™ patient benefits to ENT procedures

The LMA Flexible™ has a wire-reinforced, flexible airway tube that allows it to be positioned away from the surgical field while minimizing loss of seal. Available in reusable or single use, the LMA Flexible™ is particularly useful in adult and pediatric procedures where the surgeon and anesthesiologist are competing for access, such as those involving the head or neck. It also acts as a barrier against soiling of the glottis or trachea by blood or secretions from above, making it possible to use the LMA Flexible™ for intra-oral and nasopharyngeal operations. While the airway tube of the LMA Flexible™ has a smaller diameter than the other LMA™ devices, its internal diameter is comparable to those found in commonly used endotracheal tubes.

Clinical benefits:

  • Suitable for head and neck procedures
  • Airway tube may be positioned away from surgical field without loss of seal
  • Wire-reinforced tube resists kinking and cuff dislodgment
  • Available in pediatric and adult sizes

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ET TUBE

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The LMA™ ET Tube (ETT) has been developed specifically for use with the LMA Fastrach™. It is a straight, wire-reinforced, silicone, cuffed endotracheal tube capable of being passed entirely through the LMA Fastrach™.

The ETT has a unique molded tip for atraumatic passage through the vocal cords. The tip has been shown to increase ease of passage through the glottis during fiberoptic intubation compared to standard ETT bevels. The size of the pilot balloon and placement of the inflation line facilitate passage through the LMA Fastrach™. The ETT is reusable up to 10 times.

LMA™ ET Tube available in 5 sizes: 6.0, 6.5, 7.0, 7.5, and 8.0 mm

Connector is a standard 15 mm and can be removed. Once you have ensured that the patient is well-oxygenated after intubation, you can remove the LMA™ ET Tube connector, leaving its proximal end firmly attached to the anesthesia circuit to prevent accidental misplacement and facilitate reconnection.

The straight, wire-reinforced tube has depth marks (in centimeters) to use as a reference during intubation, indicating the distance to the distal tip. The tube has an internal diameter of 8.0 mm, and is capable of being passed with the pilot balloon and valve through the LMA Fastrach™

The LMA™ ET Tube has a unique molded tip for atraumatic passage through the vocal cords. The tip has been shown to increase ease of passage through the glottis for fiberoptic intubation compared to standard ETT bevels. The tip is made out of a radio opaque material so its location can be determined on patient x-rays.

The Cuff of the LMA™ ET Tube is characterized as being low volume, high pressure. At “just seal” or “minimal occlusion volumes”, mucosal pressures should remain within safe limits.
 

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