Laerdal SimMan Essential - Manual (Page 52)

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Clinical Features
Airway Features
The airway is anatomically correct down to but not including the bifurcation of the trachea into the right and left
main bronchus.
The airways can be manipulated by a learner:
• Head tilt/Chin lift
• Jaw thrust w/ articulated jaw
• Cricoid pressure and manipulation
• Suctioning (oral & nasopharyngeal)
If the tongue fallback feature is enabled, head tilt is required to open the airways for mask ventilations. The manikin may be ventilated
by normal and emergency methods;
• Bag-mask ventilation
• Orotracheal intubation
• Nasotracheal intubation
• Transtracheal intubation
Prior to using airway adjuncts, apply a small amount of Laerdal Airway Lubricant to the equipment. Do not spray lubricant directly into
the airway,
The following equipment or methods are suitable to secure the manikin’s airway:
• Laryngeal mask airways: The airways are designed for use with size #4, but size #5 may also seal correctly.
• Endotracheal tube intubation, Size ID 7.5 - 8.5 is suitable, but using the smaller size reduces wear of the manikin’s airways.
Use of a malleable stylet is recommended - make sure it does not extend beyond the ET tube.
• Fiberoptic intubation
• Combitube (size small adult is suitable)
• Retrograde intubation
• Needle cricothyrotomy
• Surgical cricothyrotomy
The following manikin features indicate incorrect tube placement:
• Right main stem intubation – unilateral chest rise
• Stomach distention
• Lack of chest sounds, CO
2
exhalation (see Breathing)
CONFIGURABLE AIRWAY FEATURES
Manikin features may be configured to present various airway Scenarios:
• The airway may be closed automatically or manually. There are 2 levels of resistance; ‘On’ for full airway obstruction and ‘Off ’ for
no obstruction in the manikin airways.
Off - Normal
On – Extreme
• Tongue edema - multiple levels
• Pharyngeal swelling
• Laryngospasm
• Decreased cervical range of motion
• Trismus