Aspiration mgmt: LMA


The patient should be placed in the head-down position, oxygen 100% administered, anesthesia deepened, suctioning performed and the severity of the regurgitation/aspiration event assessed fibreoptically. The decision about whether to intubate the trachea or continue with the LMA will depend on how well the LMA is functioning, the severity of the regurgitation/aspiration event and the anticipated risk of further regurgitation/aspiration. Removal of the LMA may result in further regurgitation and consideration should be given to intubating the patient fibreoptically via the LMA. Consideration should also be given to passing a gastric tube, but this may also provoke further regurgitation.


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