Supraglottic Airway (LMA)

Airway · Anesthesia · 10–20 min

Laryngeal mask airway sits above the glottis; a rescue airway when intubation fails or for short anesthetics.

Indications

  • • Failed intubation rescue
  • • Short anesthetic
  • • Difficult airway backup

Contraindications

  • ⚠ Full stomach (relative)
  • ⚠ Airway pathology

Equipment

  • • LMA sized to weight (3 F, 4 M, 5 large M)
  • • Lubricant
  • • Syringe

Positioning

  • • As appropriate for the procedure and patient comfort.

Consent

  • • Explain indication, benefits, alternatives
  • • Explain risks & complications
  • • Obtain written/verbal consent as per SOP
  • • Document consent

Universal precautions

  • • Hand hygiene
  • • PPE — gloves, mask, eye protection
  • • Aseptic technique
  • • Sharps safety
  • • Verify patient identity & site

Step-by-step (0/4)

Tap to complete

Ensures smooth insertion.

Immediate complications

  • ⚠ Aspiration
  • ⚠ Sore throat
  • ⚠ Malposition

Delayed complications

  • • Nerve palsy (rare)

Recognition

  • • Leak
  • • Poor ventilation

Initial management

  • • Reposition or replace

Prevention

  • • Correct size
  • • Adequate depth of anesthesia

Post-procedure observation

  • • Vitals q15min × 1h then hourly

Monitoring

  • • Site inspection
  • • Symptom review

Documentation

  • • Procedure note
  • • Consent
  • • Findings

Patient instructions

  • • Report pain, bleeding, fever, worsening symptoms

Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.

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WardRound

Clinical Decisions in Seconds