Table 1 The steps of the LMA insertion technique
1 | Tightly deflate the cuff with a syringe |
2 | Lubricate the posterior surface of the cuff |
3 | Place yourselves behind the patient |
4 | Push their head with the non-dominant arm to achieve extension of their head with flexion of the neck |
5 | Hold the LMA like a pen, with the index finger placed at the junction of the cuff and the airway tube |
6 | Press the tip of the cuff upward against the hard palate and flatten the cuff against it |
7 | Push the jaw downward with your middle finger |
8 | Using the index finger, advance the device into the hypopharynx until resistance is definitely felt |
9 | Press down on the tube with your non-dominant hand |
10 | Remove the index finger |
11 | Inflate the cuff with up to 30 mL of air without holding the tube |
12 | Connect a self-inflating bag to the tube and ventilate the lungs |