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aintree
quick
guide.

 

fiberoptic intubation after LMA rescue.

what is the aintree catheter?

  • Its a flexible catheter used for fiberoptically converting an LMA to an oral ETT.

  • Following intratracheal placement, a 7-0 ETT can be railroaded over Aintree and into the trachea.

  • It is shorter than an airway exchange catheter so that it can be preloaded onto a bronchoscope.

  • The aintree is compatible with any "intermediate" sized bronchoscope (i.e. the Olympus 4-0 or the Verathon Slim 3.8mm).

  • The smallest ETT compatible with an aintree is the 7-0 ETT (a smaller ETT cannot be railroaded over the Aintree)

  • ​It's also known as an Airway Intubation Catheter (AIC)

  • Comes with 2 "rapifit" adaptors (please refer to manufacturer’s guidelines for use)

Aintree intubation.

A step by step guide.

additional considerations.

This should be performed in a controlled stepwise process

 

The process is designed to provide continuous ventilation/oxygenation via the LMA and bronch adaptor until the LMA is removed and ETT is railroaded in place

Oxygen CAN be delivered via the Aintree in situations where railroading of ETT is prolonged; assisting ventilation via this route is often suboptimal and carries significant risk (lack of egress path for exhaled gas/lack of cuff/elevated barotrauma risk)

  •  

Refer to manufacturer’s guidelines for methods of oxygen delivery

Additional Recommendations:

Consider a second anesthesia provider in addition to a trained assistant

The Aintree catheter is not recommended with the LMA Supreme

Aintree-Intubation-Catheter-Cook_edited_edited.jpg

Need more details?

Take a look here for a more exhaustive explanation of this technique.

Aintree-Intubation-Catheter-Cook_edited_edited.jpg

How-to video

If a picture is worth a thousand words...

Aintree-Intubation-Catheter-Cook_edited_

Got questions?

Read here for answers to some frequently asked questions.

AdvancedAirwayMgmt.com is a free educational resource created by Sara Meitzen, MD to provide practical, evidence-based guidance for airway management.

Questions, feedback, and educational collaborations are always welcome.

smeitzen@health.ucsd.edu

 

Found an error or have a suggestion? Airway management is constantly evolving, and this website evolves with it. Feedback is always welcome.

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