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Here, we describe an unusual technical problem with insertion of PLMA in an obese patient with normal airway.
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J Anaesthesiol Clin Pharmacol [serial online] 2013 [cited 2018 Jan 13];1-2. 2013/29/3/401/117049 Sir, Proseal laryngeal mask airway (PLMA) is commonly being used in the management of patients with normal as well as difficult airway.
The authors reported damage of PLMA during the first autoclaving before being used in the patient.
Classic, flexible and intubating LMA did not have red plug.
It should be noted that apart from PLMA, no other supra glottic device has the red plug or similar concept for autoclaving.
This difference in design of PLMA from other supra glottic devices lead to error by paramedical staff during autoclaving and tend to increase the total cost.
The limitations of the red plug and no increase in life span of PLMA with red plug raise the question of whether it should be present in the PLMA especially when it may lead to failed insertion due to accidental opening and partial inflation of cuff.