laerdal Airway Management Trainer Manual

Laerdal Airway Management Trainer
www.laerdal.com
ENGLISH Directions for Use
DEUTSCH Gebrauchsanweisung
FRANÇAIS Mode d’emploi
SVENSKA Bruksanvisning
SUOMI Käyttöohje
ESPAÑOL Instrucciones de utilización
Part list

The Laerdal Airway ManagementTrainer is mounted
on a practice board and stored in a carrying case.
The following equipment is provided:
1. Sanitation kit:
a) Container w/lid
b) Compresses (10 ea)
c) Syringe (60 ml)
d) Cleaning pump assembly w/triple connector
2. Concentrated simulated vomit (150 grams)
3. Airway lubricant
4. Airway anatomy demonstration model
Applications
The Laerdal Airway ManagementTrainer realistically
simulates a non-anesthetized patient. It can be used
to demonstrate and practice intubations, ventilation,
suction and bronchoscopy.
Intubation
Complete training in all intubation procedures,
including preoxygenation, can be practiced:
- tracheal (oral and nasal)
- pharyngeal (oral and nasal)
- esophageal
- bronchial – with optional bronchial tree
Use lubricant on tube and in airway before inserting
tube. CCrriiccooiiddpprreessssuurreecan be used realistically to
facilitate tube insertion and prevent regurgitation of
stomach contents.
Laryngospasm can be simulated by instructor using a
syringe with slide lock on the connection tubing.
Press on syringe piston to simulate laryngospasm.
Maintain spasm using slide lock.
Vomiting can be simulated. See instructions for
simulated stomach contents on bottle.
See instructions under “Suction” for filling stomach
and inducing unexpected vomiting.
Excessive laryngoscope pressure on upper teeth is
signalled by an audio signal.
Proper tube placement can be checked by:
- visual inspection of lung expansion during
ventilation
- auscultation of breathing sounds via built-in
diaphragms
- spontaneous breathing can be simulated by
rhythmically squeezing and releasing lungs.
The audible movement of air helps intubator
locate tube position
- bronchoscopic evaluation of tip position
The airway anatomy demonstration model features
realistic details and can be used to train recognition
of landmarks. Suitable for demonstrating cricoid
pressure.
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3
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Ventilation
The Laerdal Airway ManagementTrainer allows use
of all normal maneuvers to maintain an open airway;
head tilt, chin lift, neck lift, jaw thrust.Ventilation can
be practiced with or without equipment; mouth-to-
mouth, mouth-to-nose, mouth-to-mask, bag-valve-
mask.
The trainer’s exterior and interior can be effectively
cleaned after exhaled air resuscitation. (See under
“Sanitation”)
Ventilation with excessive volume, or attempted
against an obstructed airway, will cause inflation of the
stomach. Make sure the elastic band is in place on the
stomach retention valve.
Note: Manikin exhales through mouth and nose.
Suction
The Laerdal Airway ManagementTrainer can be
used for training in clearing the obstructed airway
by suctioning liquid matter from:
- oral cavity
- oro- or nasopharynx
- oro- or nasotrachea, via endotracheal tube
- bronchial, using the optional bronchial tree
Gastric drainage may also be practiced.
Prepare simulated vomit. See mixing instructions on
bottle. Remove the stomach retention valve.
Fill stomach with approx. 4 cups of simulated vomit
using a funnel inserted into the rigid connector.
Remount retention valve and connect stomach to
esophagus.To induce vomiting press on the full
stomach.
Stomach contents can be effectively removed from
the interior of the trainer by flushing with clean water
immediately after training session. Even stomach
contents that have unintentionally been allowed to
dry inside the trainer, will redissolve in water.
To reduce dissolution time circulate water through
the head using the cleaning pump assembly.
See “Sanitation after training “ point (B) below.
Bronchoscopy
A realistic bronchial tree is available as an option. It
reproduces the bronchial airway down to the third
generation.
Both rigid and flexible fiberoptic bronchoscopy
can be performed in order to learn
- landmark recognition
- proper instrument handling
- bronchoscopic checking of tracheal and bronchial
tube position
- removal of solid material and mucus
- identifying common pathologies
The bronchial tree is hidden from the student’s
view during practice.The end of the bronchoscope
transilluminates the airway so that the instructor
can easily locate bronchoscope position during
endoscopy.
The bronchial tree consists of detachable left and
right branches mounted on the bronchi of a separate
trachea piece.This permits demonstration of the
bronchial tree as a separate unit. For use on the
trainer, detach both branches and mount them on
the bronchi of the trainer, following color coded/
position marks.

4
Sanitation
Open the practice board lock and lift the trainer
off the board.
Disconnect lung tube connectors and remove lungs.
Detach and remove stomach.
A. When simulated vomit has been used, hold trainer
over sink with tap water running into its mouth to
flush residue from stomach and lung tubing.
Shake and allow to drip dry.
Unscrew outer part from inner part of lung
connecting piece. Flush bags. Disconnect stomach
retention valve and open closure at other end of
stomach. Flush stomach. Allow all parts to air dry
before reassembly.
B. If exhaled air resuscitation has been practiced on
the trainer, disinfection of the airways is required
before storage or the next training session.
Use the set-up described below and carry out the
following four step procedure, changing liquid for
each new step:
1. Soapy water to remove condensation on interior
surfaces.
2. Clean water to remove soap residue.
3. Disinfecting solution. Allow to remain in completely
filled airways for at least 10 min.
4. Clean water to remove disinfecting solution.
Place the trainer’s head face down, diagonally in the
sanitation kit container filled with liquid to a point
just over the internal ridge. Attach stomach and lung
connectors to the triple connector of the cleaning
pump assembly.
Put the free tube end into the container. Place valve
in one of the fastening brackets in the rear of the
trainer’s shoulders. Insert the syringe into the opening
of the valve.
Circulate liquid through the airways by pumping the
syringe plunger. After each step lift face clear of liquid
to allow drainage.

5
Lungs and stomach
Disassemble as described in (A) above. Pour liquids in
the suggested order into stomach and each lung.
Shake well. Disinfecting solution should remain for
at least 10 min.Wash couplings and submerge in
disinfecting solution for at least 10 min.
Flush in clean water. Allow all parts to dry before
reassembly on trainer.
Preventive care
Avoid contact between manikin’s skin and materials
such as painted or lacquered surfaces, newsprint,
ballpoint pens and lipstick. Advise trainees to remove
lipstick and wash hands.
To wash the manikin’s skin, use warm water and a
mild detergent.
Problem stains may be removed with alcohol if
treated immediately.
Excessive force has no place during endotracheal
intubation. Strong force can cause severe trauma to
the patient, and may also damage the plastic “tissue”
of the manikin.
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