Nasco LF03685 User manual

“Airway Larry” Advanced
Airway Management Trainer
Head with Stand
LF03685
INSTRUCTION MANUAL
5 Year Warranty

About the Simulator
2
This trainer has the added features
of laryngospasm and tongue swell-
ing, this will provide students with
an easy-to-use model that will
build their confidence and exper-
tise while still providing a realistic
intubation experience.
Landmarks include nostrils, teeth,
tongue, oral and nasal pharynx,
larynx, cricoid ring, epiglottis, ary-
tenoid, false and true vocal cords,
trachea, esophagus, “Airway Larry”
lung set, and stomach.
The Advanced Airway Management
Trainer Head allows you to prac-
tice oral, digital, and nasal intu-
bation. E.T., E.O.A., PTL®, LMA, and
Combitube®insertion can all be
practiced as well (please see “Using
the Combitube®”). Suction tech-
niques and proper cuff inflation can
also be performed and evaluated.
In addition, this model also allows
students to apply cricoid pressure
during the intubation procedure
(Sellick’s Maneuver). By locating the
larynx and depressing the cricoid
ring, the student may realistically
lower the vocal cords farther into the
field of view. This also effectively clos-
es off the esophagus of the simulator.
The Airway Management Trainer
head can be detached from the
training stand and placed on
CPARLENE®
or modular type brand
manikins, creating a valuable
mega-code component. With prop-
er care, your Airway Management
Trainer will provide years of valu-
able service. Please review the
instructions carefully for setup,
cleanup, and maintenance proce-
dures.
List of Components
• “Airway Larry” Advanced
Airway Management Head with
Stand
• 8-oz. Pump Spray Lubricant
• 20 cc syringe (2)
• Left and right simulated lungs
• Simulated stomach
• 3 Red Caps
Setup
The Advanced Airway Management
Trainer is ready to use upon deliv-
ery. Simply remove it from the
carton, and unwrap the packaging
material.
Lubrication
Before using the Advanced Airway
Management Trainer Head, lubri -
cate both the simulator and sup -
plies being used with the pump
spray lubricant provided.
(See Figures 1 & 2.)
Figure 1
Figure 2

3
Set Up
Figure 3
Figure 4
Figure 5
Using the Combitube®
Thoroughly read and follow the
instructions that come with the
Combitube®. The trainer will accept
either a full-size or a small adult tube.
As with a live patient, it may be nec-
essary to back the tube out slightly if
ventilation cannot be established.
Note: Depending on tube placement,
the large cuff may not accept the rec-
ommended 100 ml of air. If so, simply
inflate the cuff to its maximum vol-
ume (when the plunger stops). While
holding the plunger down, detach the
syringe from the blue pilot balloon,
and proceed.
Removing the Head from
the Stand
To remove the head from the stand,
the lungs and stomach bag must first
be removed. Do this by sliding each
lung out from the connector fitting
and removing the clamp that holds
the stomach in place. (See Figure 3.)
Next, turn the head slightly to the side
to align the keyways with the slots,
and pull the head from the stand.
(See Figure 4.)
To remount the head on the stand,
simply reverse this procedure.
Attaching the Head to the
Manikin
As explained earlier, This Advanced
Airway Management Trainer has
the ability to be attached to both
CPARLENE
®
and modular type brand
manikins. To do this first remove the
lung and stomach bags if they are
attached to the trainer.
Next, turn the head face down and
begin inserting it at the shoulders. Tip
the head upward slightly until the two
keyways on the back of the neck slide
under the ring and into the top of the
torso. (See Figure 5.)
Please Note:Nasco Healthcare recom-
mends the use of the provided lubricant or
a similar vegetable-based lubricant for the
Airway Management Trainer. The use of a
silicone-based lubricant may cause dam-
age to the simulator, thus voiding Nasco
Healthcare’s warranty on the trainer.

Set Up
4
Figure 9
Figure 8
Figure 6
Figure 7
the head back around so that it is fac-
ing up and in the correct position.
Connecting the Airways
Once the head is in place, connect
the CPARLENE
®
lung bag to the right
bronchus by sliding the cap plug over
the white adapter in the bronchus.
(See Figure 6.)
Then use the provided red cap plugs
to plug the esophagus and the left
bronchus. (See Figure 7.)
This will ensure the system is sealed
and operational.
Laryngospasm
Pull back the plunger of a 20 cc
syringe and attach it to the red
stopcock. (See figure 8.) Depress the
plunger to force 1-5 cc of air into the
system. Close the tubing port at the
stopcock to maintain the pressure
within the larynx. The syringe may be
removed at this point.
Tongue Swelling
Pull back the plunger of a 20 cc
syringe and attach it to the yellow
stopcock. (See Figure 9.) Depress the
plunger to force approximately 10
cc of air into the system. Close the
tubing port at the stopcock to main-
tain the pressure. The syringe may be
removed at this point.
Caution: Do not overinflate! Excessive
pressure may rupture the system. Stop
inflation when resistance is felt or the
larynx is observed to close. Always
release the pressure when finished
training by opening the tubing port at
the stopcock.
Now match the single keyway on the
neck front up to the slot on the back-
side of the torso, and push the head-
down until it snaps into place. Rotate

5
Set Up
Cleaning and Maintenance
To clean the Airway Management
Trainer, you will first need to remove
the head from the stand. Next, take
the trainer to an area with a sink and
open counter space. Using the three
red caps supplied, plug off the esoph-
agus and the bronchi. (See Figure 10.)
Stabilize the head on the counter
face-up (towels work well for this),
with the plugged tubes hanging over
the sink. Carefully pour warm soapy
water (a mild dish soap works best)
into the mouth until the water level
reaches halfway up the tongue. Now
tilt the head back and bring the neck
up 3" off the countertop.
Continue filling until the water level
covers the tongue. At this point,
take a small soft brush and gently
scrub the inside of the mouth (a
small toothbrush works well for this).
Cotton swabs can be used to scrub
inside the nostrils. When done, pull
the plug from the esophagus and
drain the water into the sink. Now
pick the head up, hold it in a vertical
position, and pull the plugs from the
trachea to completely empty the sys-
tem. (See Figure 11.)
Rinsing the Airway
To rinse the airway, follow the same
procedure using clean, warm tap
water. Repeat this process until all the
soap has been flushed from the sys-
tem.
Disinfecting the Airway
To disinfect, repeat the standard
cleaning procedure, but this time use
a bleach solution instead of soapy
water, as specified by the Centers
for Disease Control. Fill the system
with the solution until it reaches the
corners of the mouth. Remember to
start filling with the head flat, and
finish with the neck slightly elevated
to ensure that the solution com-
pletely fills all airway passages. Once
completely filled with the bleach
solution, allow the head to sit for at
least 10 minutes. Drain as described
earlier and repeat the rinsing process
to flush out all of the bleach solution.
Set the head aside and allow it to dry
completely.
Figure 10
Figure 11