Specialized Use; Intubation Through The Ambu Aura40; Use Of The Ambu Aura40 For Blind Tracheal Intubation; Critical Situations And Emergencies - Ambu Aura40 Manual Del Usuario

6. Specialized use

6.1. Intubation through the Ambu Aura40

It is recommended to use an exchange catheter for intubation through the Ambu Aura40.
A flexible fiberscope can be used through the Ambu Aura40 to view the airway. It is important
to pre-oxygenate the patient and to use standard monitoring procedures. Fiberoptic intubation
via the AmbuAura40 can be done using an exchange catheter.
The Ambu Aura40 is inserted and an exchange catheter is treaded over the fiberscope. The
fiberscope is inserted until carina is seen and the exchange catheter is "railroaded" and left in
the trachea. The Ambu Aura40 is removed. The ET-tube is put onto the exchange catheter and
"railroaded" down into the trachea. The exchange catheter is removed.

6.2 Use of the Ambu Aura40 for blind tracheal intubation

There is currently no published data on blind tracheal intubation through the Ambu Aura40.
We have therefore no clinical evidence to verify success rate and useful technique. We can
therefore not recommend blind tracheal intubation through Ambu Aura40.
6.3. Paediatric use
The Ambu Aura40 comes in four different sizes for paediatric patients. See table 1 for selection
guidelines and maximum inflation volumes.
It is recommended that the Ambu Aura40 in neonates and small children is used by an
anaesthesiologist familiar with paediatric patients and already experienced in adult laryngeal
mask airway management.
The insertion of the Ambu Aura40 in paediatric patients can be performed in the same way
as described for adults following either intravenous or gaseous induction. It is important that
an adequate level of anaesthesia (or unconsciousness) is achieved before insertion.
The insertion should be successful at the same level of anaesthesia that would be suitable for
tracheal intubation.
Please note that with the Ambu Aura40, as with any form of airway management and
anaesthesia in paediatric patients, where ventilation is insufficient, desaturation is likely to occur
faster because of the higher oxygen consumption of paediatric patients.

6.4. Critical situations and emergencies

6.4.1. Critical situations

The Ambu Aura40 is not intended for use as a replacement for the endotracheal tube. However,
in cases where tracheal intubation is not suitable or has failed, the Ambu Aura40 may be used
successfully to establish an airway.

6.4.2. Emergencies

The Ambu Aura40 may be used during cardiopulmonary resuscitation, either as a temporary rescue
airway or as a conduit to intubation. In the resuscitation situation, the patient must be profoundly
unconscious with obtunded airway reflexes. The risk of regurgitation and aspiration must be balanced
against the potential benefit of establishing an airway and providing oxygenation.
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6.5 Magnetic Resonance Imaging (MRI)
Ambu Aura40 has not been tested for use in MRI scanning. It is therefore not recommended for
use with MRI.

7. Manufacturer's Warranty

The Ambu Aura40 is warranted against material and manufacturing defects for forty (40) uses
or a period of one (1) year from date of invoice, whichever comes first, provided that it has been
used according to the instruction manual. The completed record card must accompany any
Ambu Aura40 returned for evaluation of a defect.
Warranty applicable only if purchased from an authorized distributor.
Ambu A/S DISCLAIMS ALL OTHER WARRANTIES, WHETHER EXPRESSED OR IMPLIED, INCLUDING,
WITHOUT LIMITATION, WARRANTIES OF MERCHANTABILITY.
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