Standard LMA insertion method

The "standard" LMA insertion method. Hold the LMA with the index finger at the junction of the cuff and the tube (Step 1). With the head first positioned as for normal intubation, keep the neck flexed and head extended by pushing the head from behind with one hand while inserting the LMA into the mouth with the other, initially directing the tip against the hard palate (Step 2). Then, using the index finger, push the LMA backwards and downwards against the palate (Step 3). As the LMA advances into position, maintain pressure against the posterior pharyngeal wall. Advance until resistance is felt. Press down on the LMA tube with the non-dominant hand while the finger is removed (Step 4). Inflate the cuff with air, tape the LMA in place along with a bite block, and connect to breathing circuit (Step 5).