Laerdal SimMan 3G Mystic - Manual (Page 44)

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Clinical Features
Airway Features
The airway is anatomically modeled as far as the bronchia.
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.
− i-Gel
− 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
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exhalation (see Breathing section)
CONFIGURABLE AIRWAY FEATURES
Manikin features may be configured to present various airway
Scenarios:
− The airway may be closed automatically or manually. There are
four levels of resistance and compliance within the airway.
− Tongue edema - multiple levels
− Pharyngeal swelling
− Laryngospasm
− Decreased cervical range of motion
− Trismus
− Teeth - soft upper dentures may be replaced with a hard set of
teeth for enhanced realism while practicing intubations.
During simulation, the following conditions can be set:
− Can’t intubate / can ventilate
− Can’t intubate / can’t ventilate
The following information is automatically registered in the SimMan3G
simulation session:
− Detection of proper head position.
− Jaw Thrust
− Pneumothorax decompression
− Ventilations
− Stomach distension
Instructor Mode Airway / Breathing Tab
The Airway / breathing tab shows the status of the patient’s breathing
and allows configuration of <Airway / breathing> settings.
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1 - Animation and Settings
The airway/breathing animation is a real-time movie of the airway/
breathing status of the patient.
Healthy breathing with low resistance is shown by an inhalation in blue
which then turns white.