Using Suction Catheter as a Guide for Awake ProSeal LMA Insertion in a Patient with Restricted Neck Extension: A Case Report


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

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Note : Google Scholar may take 30 to 40 days to display the article.


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 :

  1. Drolet P. Management of the anticipated difficult airway --- a systematic approach: continuing professional development. Can J Anaesth. 2009;56:683---701.
  2. 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.
  3. 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.
  4. 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.

CALL FOR PAPERS


Paper Submission Last Date
30 - November - 2025

Video Explanation for Published paper

Never miss an update from Papermashup

Get notified about the latest tutorials and downloads.

Subscribe by Email

Get alerts directly into your inbox after each post and stay updated.
Subscribe
OR

Subscribe by RSS

Add our RSS to your feedreader to get regular updates from us.
Subscribe