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      Laryngeal 
		Mask - insertion technique 
  
      
        
        
          
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            Tightly deflate the cuff. 
			 
				
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					2) 
					
					Lubricate the posterior surface of the 
					laryngeal 
            mask (LM) with water-soluble lubricant.  | 
				 
			 
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                  3) Hold the 
					LM like a pen, with 
            the index finger placed at the junction of the cuff and the tube.  | 
                 
               
             
            
			
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            With the head extended and the neck 
            flexed, carefully flatten the 
			 
            LM tip against the hard 
            palate. 
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            Using continuos pressure, advance the LM into the hypopharynx until definite resistance is 
            felt. 
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            Before removing the index finger, gently 
            press down the tube with the other hand. 
			 
            This prevents the laryngeal 
            mask from being pulled out of place. 
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					With the LM 
					tube free, inflate the cuff with an air volume just enough to obtain a seal 
					(to 
              a pressure of approximately 60 cm H2O) 
					Never overinflate the cuff.  
				 
					
						
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								Maximum Inflation Volumes 
							  
							
								
        
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              no 1   | 
              
               
              4 ml   | 
          			
								 
								
        
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              no 1,5   | 
              
               
              7 ml   | 
          			
								 
								
        
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              no 2   | 
              
               
              10 ml   | 
          			
								 
								
        
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              no 2,5   | 
              
               
              14 ml   | 
          			
								 
								
        
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              no 3   | 
              
               
              20 ml   | 
          			
								 
								
        
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              no 4   | 
              
               
              30 ml   | 
          			
								 
								
        
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              no 5   | 
              
               
              40 ml   | 
          			
								 
							 
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			8)    
			
			  
            
            Insert a bite block and 
            tape the laryngeal mask.  | 
           
          
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