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Propofol is one of the most useful induction drugs for insertion of the cLMA, because of its superior relaxation of the jaw and suppression of airway reflexes (4,5), although adjuvants may be needed in many cases.
Loss of consciousness with induction of anaesthesia is associated with loss of airway control and protective airway reflexes.
Under the age of three years, there is a greater risk of inhalation and airway obstruction as the airway reflexes are not as well developed and the major airways are narrow.
At the end of surgery, the LMA was removed and the patient was transferred to the recovery room after return of airway reflexes and consciousness.
Autonomic dysfunction would also have contributed to her aspiration risk by delaying gastric emptying and impairing deglutition due to dysfunctional upper airway reflexes.
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