A. Assemble the components necessary for LMA insertion. Deflate the LMA cuff accordingto the manufacturer’s guidelines so that the leading edge is smooth. B. Lubricate theLMA with lubricant, such as lidocaine ointment.

1.    Explain the procedure and reassure patient. Induce general anesthesia (see Inductionof anesthesia cognitive aid). Place patient in “sniffing” position.
   
2.    Open mouth with “scissor” technique using non-dominant hand.
   
   

C. Explain procedure and induce general anesthesia. Neuromuscular blockade is usuallyunnecessary for LMA insertion. Place patient in proper “sniffing” position. D. Tilt thepatient’s head backward (caution in patients with uncleared c-spine injuries) or openmouth with “scissor” technique.

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