Airway 16

Front 1

How is the LMA placed in the hypopharynx?

Back 1

index finger caudally guides cuff along hard palate and down into hypopharynx until increased resistance is felt

Front 2

What should be inserted into the mouth after LMA insertion?

Back 2

Bite block (3 cm roll of gauze)

Front 3

What is the usual cause of LMA obstruction after insertion?

Back 3

downfolding of the epiglottis or transient laryngospasm

Front 4

What should not be done with a LMA in while the patient is not awake?

Back 4

cuff deflation, pharyngeal suction, LMA removal

Front 5

How would you know if a patient with a LMA is awake?

Back 5

opens mouth on command

Front 6

What is the ideal position for a LMA?

Back 6

bordered by the base of the tongue superiorly, the pyriform sinuses laterally, and the upper esophageal sphincter inferiorly

Front 7

What are indications for LMA use?

Back 7

Any patient in whom anesthesia can be safely maintained through a face mask, or airway rescue

Front 8

What are contraindications to LMA use?

Back 8

GERD, PPV, duration of use, position, surgical procedures, pathology of mouth, pharynx or larynx, restricted access to the airway

Front 9

Is the LMA a protected airway?

Back 9

No

Front 10

Where should the distal tip of the LMA sit?

Back 10

Over the esophageal inlet