Authors :
Dr. Deepak Singla; Dr. Shreya Singh; Dr. Jasnoor Kaur; Dr. Jaspreet Kaur
Volume/Issue :
Volume 10 - 2025, Issue 11 - November
Google Scholar :
https://tinyurl.com/yudu929c
Scribd :
https://tinyurl.com/mbawrsvs
DOI :
https://doi.org/10.38124/ijisrt/25nov964
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Abstract :
We describe the successful awake insertion of a ProSeal Laryngeal Mask Airway in a 28-year-old male with
restricted mouth opening, Mallampati IV airway, and limited neck mobility posted for reconstruction of post maxillary
defect and flap reconstruction. A suction catheter was used as a guide to facilitate smooth placement after topicalization with
nebulized lignocaine. Ventilation was adequate throughout surgery, and the intraoperative and postoperative courses were
uneventful. This case highlights guided awake SAD insertion as a simple and effective alternative in anticipated difficult-
airway situations.
Keywords :
Awake Airway Management; ProSeal LMA; Difficult Airway; Restricted Mouth Opening; Supraglottic Airway Device; Suction Catheter-Guided Insertion; Maxillectomy; Limited Neck Mobility.
References :
- Drolet P. Management of the anticipated difficult airway --- a systematic approach: continuing professional development. Can J Anaesth. 2009;56:683---701.
- Apfelbaum JL, Hagberg CA, Connis RT, Abdelmalak BB, Agarkar M, Dutton RP, et al. 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway. Anesthesiology. 2022 Jan 1;136(1):31-81. doi: 10.1097/ALN.0000000000004002.
- Maltby JR, Loken RG, Beriault MT, Archer DP. Laryngeal mask airway with mouth opening less than 20 mm. Can J Anaesth. 1995 Dec;42(12):1140-2. doi: 10.1007/BF03015103.
- Matioc AA, Olson J. Use of the Laryngeal Tube in two unexpected difficult airway situations: lingual tonsillar hyperplasia and and morbid obesity. Can J Anesth 2004; 51: 1018–21.
We describe the successful awake insertion of a ProSeal Laryngeal Mask Airway in a 28-year-old male with
restricted mouth opening, Mallampati IV airway, and limited neck mobility posted for reconstruction of post maxillary
defect and flap reconstruction. A suction catheter was used as a guide to facilitate smooth placement after topicalization with
nebulized lignocaine. Ventilation was adequate throughout surgery, and the intraoperative and postoperative courses were
uneventful. This case highlights guided awake SAD insertion as a simple and effective alternative in anticipated difficult-
airway situations.
Keywords :
Awake Airway Management; ProSeal LMA; Difficult Airway; Restricted Mouth Opening; Supraglottic Airway Device; Suction Catheter-Guided Insertion; Maxillectomy; Limited Neck Mobility.