LMA -Model Protector -Airway with Cuff Pilot Technology
The LMA® Protector™ Airway is the most advanced second generation airway from Teleflex. Dual gastric channels: The only laryngeal mask that combines a pharyngeal chamber and dual gastric drainage channels, designed specifically to channel gastric content away from the airway. Silicone: The airway tube and cuff are 100% silicone, phthalate free and designed to conform to the anatomy. Silicone cuffs have been shown to reduce risk of sore throat1 and achieve higher seal pressures2 compared with PVC cuffs. Cuff Pilot™ Technology: An integrated cuff pressure indicator for single-use airway management devices that enables continuous cuff pressure monitoring at a glance and facilitates easy, accurate adjustment when necessary.3,4. Second Seal Technology: The elongated cuff facilitates the upper esophageal seal. Ability to intubate: Allows direct intubation using visual guidance.
Second generation devices, such as LMA® Protector™ Airway, come highly recommended in the recently published NAP4 audit conducted by the Royal College of Anaesthetists and the Difficult Airway Society, UK.
Recommendation:If tracheal intubation is not considered to be indicated but there is some (small) increased concern about regurgitation risk, a second generation supraglottic airway is a more logical choice than a first generation one.
Recommendation:In patients considered to be at low-risk of aspiration who have other factors that mean that use of a SAD is at the limits of normality (e.g. patient position, access to the airway, patient size) consideration should be given to use of a second generation SAD.
Recommendation:In view of the above recommendations, and the frequency of these circumstances, it is recommended that all hospitals have second generation SADs available for both routine use and rescue airway management.