Using Suction Catheter as a Guide for Awake ProSeal LMA Insertion in a Patient with Restricted Neck Extension: A Case Report

We describe the successful awake insertion of a ProSeal Laryngeal Mask Airway in a 28-year-old male with restricted mouth opening, Mallampati IV airway, and limited neck mobility posted for reconstruction of post maxillary defect and flap reconstruction. A suction catheter was used as a guide to facilitate smooth placement after topicalization with nebulized lignocaine. Ventilation was adequate throughout surgery, and the intraoperative and postoperative courses were uneventful. This case highlights guided awake SAD insertion as a simple and effective alternative in anticipated difficult- airway situations.