Nasco Life/form Airway Larry User manual

Products by Nasco
Advanced “Airway Larry”
Airway Management Trainer
Head with Stand
LF03685U
Instruction Manual
“Airway Larry”

1
Nasco Life/form®Advanced Airway
Management Head
About the Simulator
The Life/form®Advanced Airway
Management
Trainer Head is the
most realistic simulator available for
the training of intubation and other
airway management skills. Now with
the added features of laryngospasm
and tongue swelling, this trainer will
provide students with an easy-to-use
model that will build their confidence
and expertise while still providing a
realistic intubation experience.
Nasco has taken great care to create
an advanced airway management
trainer that is anatomically correct
in respect to both size and detail.
Landmarks include nostrils, teeth,
tongue, oral and nasal pharynx, lar-
ynx, cricoid ring, epiglottis, arytenoid,
false and true vocal cords, trachea,
esophagus, “Airway Larry” lung set,
and stomach.
Nasco’s Advanced Airway Management
Trainer Head allows you to practice
oral, digital, and nasal intubation. E.T.,
E.O.A., PTL®, LMA, and Combitube®
insertion can all be practiced as well
(please see “Using the Combitube®”).
Suction techniques and proper cuff
inflation can also be performed and
evaluated.
In addition, this model also allows stu-
dents 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 closes off the esophagus of
the simulator.
The Airway Management Trainer head
can be detached from the training
stand and placed on CPARLENE® or
Resusci®Anne™* brand manikins,
creating a valuable mega-code com-
ponent. With proper care, your Life/
form®Airway Management Trainer
will provide years of valuable service.
Please review the instructions care-
fully for setup, cleanup, and mainte-
nance procedures.
List of Components
• Advanced “Airway Larry”
Airway Management Head
• 8-oz. Pump Spray Lubricant
• 20 cc syringe (2)
• Left and right simulated lungs
• Simulated stomach
Setup
The Advanced Airway Management
Trainer is ready to use upon delivery.
Simply remove it from the carton, and
unwrap the packaging material.
Lubrication
Before using the Advanced Airway
Management Trainer Head, lubricate
both the simulator and supplies being
used with the pump spray lubricant
provided. (See figures 1 & 2.)
Figure 1
Figure 2
*Resusci®Anne™ is a trademark of Laerdal Medical Corporation

2
Figure 3
Figure 4
Figure 5
Please Note: Nasco recommends
the use of the provided lubricant or a
similar vegetable-based lubricant for
the “Airway Larry” Airway Management
Trainer. The use of a silicone-based
lubricant may cause damage to the
simulator, thus voiding Nasco’s war-
ranty on the trainer.
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 volume
(when the plunger stops). While hold-
ing 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 fig-
ure 4.)
To remount the head on the stand,
simply reverse this procedure.
Attaching the Head to the Manikin
As explained earlier, Nasco’s Advanced
Airway Management Trainer has the abil-
ity to be attached to both
CPARLENE®
and any of the non-modular Resusci®
Anne™* brand manikins. To attach
the Airway Management Trainer Head
to the above manikins, you must 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.)
*Resusci®Anne™ is a trademark of Laerdal Medical Corporation

3
Figure 9
Figure 8
Figure 6
Figure 7
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
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 oper-
ational.
Note: Nasco’s Advanced Airway
Management Trainer will fit on all
models of CPARLENE® and Resusci®
Anne™* manikins. To adapt the Airway
Management Trainer Head to the
Resusci®Anne™*, we have included
an adapter piece. (See figure 8.)
Remove the Resusci®Anne™* head
and the connected section of corru-
gated tubing down to the valve. Install
the Airway Management Trainer Head
and hook it up to the lung system with
the adapter piece. Place the red cap
end over the white fitting of the right
bronchus and hook the other end to
the lung bag valve nipple (where the
previous corrugated tubing had been
connected).
To remove the head from the manikin,
reverse the attachment procedure.
Laryngospasm
Pull back the plunger of a 20 cc syringe
and attach it to the red stopcock. (See
figure 9.) Depress the plunger to force
1-5 cc of air into the system. Close the
tubing port at the stopcock to main-
tain the pressure within the larynx. The
syringe may be removed at this point.
*Resusci®Anne™ is a trademark of Laerdal Medical Corporation

4
Tongue Swelling
Pull back the plunger of a 20 cc syringe
and attach it to the yellow stopcock.
(See figure 10.) Depress the plunger
to force approximately 10 cc of air into
the system. Close the tubing port at the
stopcock to maintain 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 lar-
ynx is observed to close. Always release
the pressure when finished training by
opening the tubing port at the stopcock.
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 esophagus
and the bronchi. (See figure 11.)
Figure 10
Figure 11
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.
Figure 12
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 tooth-
brush 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 com-
pletely empty the system. (See figure
12.)
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 system.

5
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 completely 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.
Cleaning the Face
Normal soil can be removed from the
face of the trainer with mild, soapy
water. Nasco Cleaner (LF09919U) will
remove stubborn stains. Simply apply
Nasco Cleaner to the soiled area and
wipe clean with a soft cloth or paper
towel. Note: Do not use Nasco Cleaner
around the mouth and nostrils, as the
residue of the cleaner could be toxic.
Caution
Never place the trainer on any kind
of printed paper or plastic. These
materials will transfer indelible stains.
Ball-point pens will also make indelible
stains. Do not use cosmetics.
Supplies/Replacement Parts for the
Advanced “Airway Larry” Airway
Management Trainer
LF03605U Replacement Lungs
LF03606U Replacement Stomach
LF03644U Pump Spray Lubricant
LF09919U Nasco Cleaner

COPYRIGHT © NASCO 1998 PRINTED IN U.S.A. NP 022-05/RV 10-12
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