TherapeuticsThe intubating laryngeal-mask airway may be an ideal device for airway control in the rural trauma patient☆,☆☆,★
Section snippets
Background
The laryngeal mask airway (LMA) was first described in 1983 by Brain, and has been commercially available in the United Kingdom since 1988.6 In the years since its introduction, the LMA has gained wide acceptance throughout Europe and the United States. The LMA is a mask that fits over the larynx, in a way similar to the way in which a face-mask fits over the face. It is oval, with an inflatable balloon surrounding its periphery and a tube that serves as a conduit between the mask and the
Conclusion
The care given during the “golden hour” after trauma is the most crucial determinant of eventual outcome.17 Patient management during this critical period often lies in the hands of paramedical personnel or rural emergency physicians. The primary goal in resuscitation is to establish a patent airway to allow adequate oxygenation, yet prevent pulmonary aspiration of blood and vomitus. Difficulty arises in that the trauma patient who presents to a rural ED with the need for establishment of an
Acknowledgements
The author thanks Dr Matt Layman, MDA, of the Anesthesia Department of Regions Hospital, for his time and commitment in advising on writing this manuscript.
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Manuscript returned August 1, 2001.
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Address reprint requests to Barb Young, 408 South Warwick St., St. Paul, MN 55105.
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