12
EN
Apply suction through the mask’s airway tube and through the mouth. Suction of the tracheobronchial tree using a
fi berscope through the mask may be employed if the airway refl exes are adequately obtunded.
If clinically indicated, commence preparation for immediate tracheal intubation. If aspiration has occurred, the patient
should be given a chest X-ray and be treated with antibiotics, physiotherapy, and tracheal suction, as appropriate.
WARNING
If airway problems persist or ventilation is inadequate, the Ambu AuraOnce should be removed and the airway
managed as clinically indicated.
7.11. Recovery
On completion of surgery, the supraglottic airway (SGA) should be removed only after the patient’s protective
refl exes have returned and the patient responds to verbal commands.
Patient monitoring should continue throughout the recovery stage. Oxygen should be continuously administered
through the anaesthetic circuit or via a T-piece. If suction is required around the oral cavity or down the airway
tube, it should be carried out prior to recovery of refl exes.
7.12. Removal procedure
Removal should always be carried out in an area where suction equipment and the facility for rapid tracheal
intubation are available.
Do not fully defl ate the cuff until after its removal to avoid secretions entering the larynx and to prevent laryngospasm.
Alternatively, it may be removed moderately infl ated to aid complete removal of secretions.
If the mask is to be removed in the Post-Anesthesia Care Unit, recovery room staff should receive thorough training
in all aspects of the Ambu AuraOnce.
WARNING
The sterile Ambu AuraOnce is for single use only. Destroy after use.
Do not re-sterilise.
8. Specialized use
8.1. Intubation through the Ambu AuraOnce
It is recommended to use an exchange catheter for intubation through the Ambu AuraOnce.
A fl exible fi berscope can be used through the Ambu AuraOnce to view the airway. It is important to pre-oxygenate
the patient and to use standard monitoring procedures. Fiberoptic intubation via the Ambu AuraOnce can be done
using an exchange catheter.
The Ambu AuraOnce is inserted and an exchange catheter is threaded over the fi berscope. The fi berscope is
inserted until carina is seen and the exchange catheter is “railroaded” and left in the trachea.
The Ambu AuraOnce is removed. The ET-tube is put onto the exchange catheter and “railroaded” down into the
trachea. The exchange catheter is removed.
CAUTION
We do not recommend removing the airway connector on the Ambu AuraOnce.
