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Difficult airway – LMA rescue — RACP Paediatrics MCQ

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HardRespiratoryDifficult airway – LMA rescueRACP Paediatrics

A 3-year-old with Pierre Robin sequence requires urgent airway management. Direct laryngoscopy fails twice. SpO2 70% despite BMV. What is the most appropriate next airway intervention?

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Correct answer: A — Laryngeal mask airway

When intubation fails in a difficult paediatric airway, LMA is the most important rescue device per DAS/APAGBI guidelines. It provides temporary oxygenation while planning definitive management.

Reference: RCH Melbourne – 2023; DAS/APAGBI – 2015 – Paediatric Difficult Airway