[Advanced indications of the laryngeal mask - Limitations of use]

Abstract

The use of extraglottic airway devices (EGA) is well accepted for airway management for certain classic indications such as general anaesthesia during limb surgery in the supine position. Furthermore, EGA have been deemed a useful tool during the management of an unrecognized difficult airway. On the other hand, the use of EGA has been controversially discussed for advanced indications such as during general anaesthesia during laparoscopic surgery and in coexisting morbid obesity. This article provides an evidence based review of the role of EGA during a variety of indications and is designed to assist with the decision making process of whether an EGA may or may not be appropriate for a particular indication. Moreover, recommendations are given for advanced indications.