Fiberoptic intubations can be a messy business, best done with meticulous preparation of the airway. Topical analgesia/anesthesia of the mouth (and/or nose), palate, pharynx, tongue and vocal cords is essential to a successful awake fiberoptic intubation, but precisely delivering the local anesthetic while maintaining oxygenation can be tricky. The MADgic atomizer and MADGic airway from LMA incorporate all these tasks into one apparatus.
The mouth, tongue, palate, and throat are first sprayed with topical anesthetic, then the MADgic airway is inserted. This device has a built-in atomizer that should be now directed at the glottic opening, allowing you to spray the vocal cords directly with more anesthetic. All the while, an oxygen port delivers fresh gas to the patient while you are thoroughly preparing the mucosa. At this point, the MADgic airway is serving as a bite-block, oxygenation-assist device, and finally as a guide for the fiberoptic bronchoscope and endotracheal tube as you intubate. This represents a possible alternative to “spray-as-you-go” techniques, transtracheal blocks, or vaporized lidocaine and is a nice addition to the LMA’s massive airway arsenal.
Product page: LMA MADgic Airway …