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removed and the PLMA railroaded into position using the digital technique with a midline approach. On this occasion, ventilation was easy with no air leakage and the bite block was correctly located between the teeth. The GEB was removed whilst holding the PLMA. Subsequent passage of a gastric tube was easy. By guiding the PLMA tip towards the hypopharynx the GEB ensures that the PLMA is correctly positioned. The GEB may also help prevent impaction in the back of the mouth and should prevent the cuff folding over. Drolet and Girard1 recently described a similar technique using a gastric tube. We speculate that the GEB is a better guide than the gastric tube because of its greater stiffness.

Systemic effects of subcutaneous and topical epinephrine administration during burn surgery