What should be done when inserting a supraglottic airway?

Measuring the correct size before using a supraglottic airway is essential for ensuring proper fit and effective ventilation. This step is crucial because supraglottic airways come in various sizes designed to accommodate different anatomy based on the patient's age, size, and gender. Using a device that is the wrong size can lead to either blockage of the airway or inadequate ventilation, which may compromise the patient's respiratory status.

Additionally, pre-measuring helps in preparing for potential challenges in the placement process and enhances the chance of successful insertion on the first attempt, which is particularly important in time-sensitive situations often encountered in tactical environments. It is also worth noting that this practice aids in reducing complications and increases the overall efficacy of the airway management protocol.

In contrast, quickly inserting the device without lubrication may increase the risk of trauma to the airway. Using it only for conscious patients is inappropriate, as supraglottic airways are primarily used for unconscious or altered level of consciousness patients who cannot protect their airway. Finally, applying significant pressure during insertion is not advisable since this could lead to injury or improper placement of the device.