hi there:
I'm a 3º year resident from Lisbon, Portugal.
From the story you're telling, it seems to me the patient wasn't deep anesthethised enough.
My little experience tells me the patient has to be deep enough to insert the LMA.
Usually we do as drugs diazepam 5-10mg and propofol 150-200mg quite fast. Like that the quality of the deepness is greater. I dont give fentanyl until they´re about to start the procedure (0,05mg). the results are the follow: the stimuli of the LMA is enough for the patient to start breathing spontaneously again (no need for fentanyl when induction! no need for assisted ventilation!) ; haemodynamic stability ; NO HICCUPS!!!! hope it will helps
I'm a 3º year resident from Lisbon, Portugal.
From the story you're telling, it seems to me the patient wasn't deep anesthethised enough.
My little experience tells me the patient has to be deep enough to insert the LMA.
Usually we do as drugs diazepam 5-10mg and propofol 150-200mg quite fast. Like that the quality of the deepness is greater. I dont give fentanyl until they´re about to start the procedure (0,05mg). the results are the follow: the stimuli of the LMA is enough for the patient to start breathing spontaneously again (no need for fentanyl when induction! no need for assisted ventilation!) ; haemodynamic stability ; NO HICCUPS!!!! hope it will helps