LMA 2nd Gen (Fiadjoe @ CHOP)
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Deflate LMA. Place LMA. Reinflate some amount.
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Occlude the gastric outlet with ultrasound jelly.
- Press on the trachea, which compresses the esophagus. The LMA is well seated if the ultrasound jelly demonstrates air movement, which indicates it is communicating with the esophagus.
- Positive pressure ventilate. No movement of gastric jelly means that it is communicating with the lungs.
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Pass gastric sump through gastric outlet, suction