SAD Attempts DAS 2025 — FRCA Final MCQ

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ModerateAirway ManagementSAD Attempts DAS 2025FRCA Final

During a difficult airway scenario, the anaesthetist attempts to place a supraglottic airway device as Plan B. According to DAS 2025 guidelines, what is the maximum number of SAD insertion attempts recommended?

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Correct answer: D — 3

The DAS 2025 guidelines recommend a maximum of 3 SAD insertion attempts during Plan B, including a maximum of 2 attempts with any single device type. If SAD insertion fails after 3 attempts (and ventilation through it is inadequate), the algorithm progresses to Plan C (facemask ventilation). Second-generation SADs with a gastric drainage port are recommended for emergency use. Each attempt should be optimised: correct size selection, adequate anaesthetic depth, and appropriate insertion technique.

Reference: DAS – 2025 – Guidelines for management of unanticipated difficult tracheal intubation in adults