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to patients in emergencies, Dr. Frederick recommends that all facili-
ties keep an SGA with this feature on their difficult airway cart.
7. Reusable vs. disposable
While most providers are moving to disposable SGAs to mitigate the
risk of cross-contamination, many smaller centers still use a classic
LMA that is reusable and reprocessed between cases, says Ms.
Velocci.
The choice comes down to facility preference, adds Dr. Frederick.
"Is one better than another? Not necessarily," she says. "We pre-
ferred not to have to worry about cross-contamination and wear
and tear, so we went with disposable. But if you're confident in
your sterilizing, then reusable may be more cost effective." OSM
E-mail kgapinski@outpatientsurgery.net.
their own," says Dr. Frederick, "so I knew I didn't need a high-pressure device."
Work with your providers to determine the features you need, narrow down your
device options and then negotiate with vendors, since prices vary dramatically depend-
ing on the device, says Dina Velocci, CRNA, DNP, APN, owner of Velocci Anesthesia
Services of Nashville, Tenn. "Your providers can give you an idea of what will work best,
as well as what they are most comfortable using," she says. "They are really the ones who
can have that conversation. 'Well, Dr. So-and-So does these cases and likes this, so we
should get this device.'"
"Whatever you give your providers will work," she adds. "But if you want the
provider to be happy and have a better atmosphere all around, ask them for their
input." — Kendal Gapinski
