Awake Lma placement

Today I had a young patient 25 with bmi 40 ish come for cysto w stent and stone manipulation. Healthy otherwise MP4 large neck extra large head. Topicalized with lido 2 of versed 25 mcg fent and had him huffing a touch of Gas maybe 2% sevo until he felt giggly. Had him open his mouth placed the Ijel. Turned up the vapor kept him spontaneously breathing. Woke him up no with no knowledge of lma placement. A unique approach....
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums