Bradycardia after dexamethasone for postoperative nausea and vomiting prophylaxis during induction of anaesthesia.

,92%. Adequate light sedation before awake insertion of the ILMA was achieved with total midazolam and fentanyl doses ranging from 3 to 6 [mean 4.4 (0.8)] and 0.1 to 0.3 [mean 0.16 (0.6)] mg, respectively.Nopatient recalledexperiencingdiscomfort during the procedure when questioned after operation. We obtained good results with awake insertion of a size 3.5 air-QTM ILMA device followed by tracheal intubation using the device as a conduit in morbidly obese patients (n1⁄420) undergoing bariatric surgery. This ILMA device is designed for easier insertion. It has a curvature approximate to that of the upper oropharyngeal airway and a wider (anterior–posterior diameter1⁄415 mm) and shorter airway conduit than previous models. 5 It has an easily removable airway adapter with no grill in the ventilating orifice, which may further facilitate insertion and placement (Fig. 1C). In conclusion, the technique we describe may be a viable alternative to mask ventilation and direct laryngoscopy for safe airway management in morbidly obese patients. Further studies and detailed comparison with results of other techniques may be warranted.