EXHIBIT 05 // SUPRAGLOTTIC AIRWAYS

Enter. Pass. Seat.

A supraglottic airway has to enter the mouth, pass through the pharynx, and seat above the glottis before it can create a route for ventilation.

That common mechanical problem connects the family. Size, material, cuff, shape, preparation, and placement technique are where the devices begin to separate.

This Exhibit explores shared supraglottic airway principles, device-specific differences, and techniques for optimization—including how to recognize a completed Best Effort and when to move on. Then explore the device library: study an individual airway online, or pick up the matching device at the station and practice with it.

GALLERY GUIDE05Entry · Passage · Seating · Ventilation
Poster 140 · Physical-to-digital threshold

Room 01 // Universal concepts

Different shapes. A shared job.

All supraglottic airways create a route for ventilation without placing a tube through the vocal cords. Their shapes and sealing mechanisms differ, but their shared job is to direct gas toward the lungs. Let’s start with what connects the family.

What connects the family

A route to the larynx—not through it
The ventilation opening communicates with the laryngeal inlet while the device remains outside the trachea. An LMA or i-gel seats around the inlet; a laryngeal tube directs gas through openings between its cuffs.
An open pathway and a working seal
Gas needs an unobstructed route toward the lungs and a seal that limits escape. A device can be inside the mouth yet poorly aligned, obstructed, or leaking. Placement is only useful when that relationship works.
Every seal has a pressure limit
During positive-pressure ventilation, the pressure needed to deliver a breath may exceed the seal’s ability to contain it. Gas can leak instead of reaching the lungs. Cuff pressure and airway pressure are different measurements; adding more air to an inflatable cuff is not a universal fix.
Confirm the result—and keep watching
Assess ventilation with waveform capnography and clinical signs, and follow oxygenation with pulse oximetry. Reassess after movement or a change in performance. A device that worked initially still needs monitoring.
Ventilation does not guarantee aspiration protection
An SGA can provide effective ventilation without eliminating the risk of regurgitation or aspiration. Some designs add a gastric channel to help manage gastric contents. That feature does not make every patient or situation suitable for the device.

These principles travel across the family. Sizing, preparation, cuff management, and insertion technique remain device-specific. Next, use the LMA to make these relationships visible.

References & further exploration →

Device construction and preparation: Intersurgical i-gel, Ambu King LTS-D, and Teleflex LMA literature. Follow the current instructions for the exact device.

Poster 141: An Underappreciated Tool
Listen // An Underappreciated Tool
0:00
Poster 141 · PAC legacy narration · Transcript pending
Found object // Anatomical illustrationAn SGA in profile

Follow the curve of the device and its relationship to the surrounding anatomy. One illustrated example, rather than a template for every SGA.

Owner-supplied illustration · Creator and date unconfirmed.
AI-assisted background treatment · View original ↗
Open the legacy evidence exhibit →
Legacy evidence infographic · Claims require final evidence review before release.

This artifact is retained for source review. Its claims do not set the required learner task or a universal expectation of SGA success.

Next // Read one representative object

The family shares a route for ventilation. An LMA makes that route visible from the connector to the cuff.

Room 02 // A representative example

Read the LMA from connector to cuff.

The laryngeal mask makes the shared principles tangible. Follow the ventilation path, then distinguish the parts that carry gas from the system that inflates the cuff.

Object study // LMA family artifactComparison graphic · not the selected Station model
Follow the gas
Connector → airway tube → patient-facing opening. Trace that route on the diagram.
Find the separate inflation system
Identify the inflation port, pilot balloon, and cuff. This system changes the cuff; it is not the ventilation lumen.
Notice what this example cannot generalize
Not every SGA has an inflatable cuff. Gastric access and other features depend on the model. Use the optional collection to compare them.

This family diagram is a component study, not a preparation guide for every LMA. Follow the current instructions for the exact model.

Poster 142 · Legacy LMA object exhibit
Next // When placement is not enough

Recognizing the parts is the beginning. Now distinguish the entry, passage, and seating problems that can prevent the device from doing its job.

Room 03 // Optimization & Best Effort

Find the problem.
Change the attempt.

When placement does not produce the result, locate what is getting in the way. Entry, Passage, and Seating describe different mechanical problems—not three interchangeable reasons to repeat the same insertion.

Entry
The device cannot enter the mouth.
Passage
The device cannot negotiate the pharyngeal route.
Seating
The device arrives, but alignment or seal does not support ventilation.

Best Effort is an endpoint, not a required attempt count. It is reached when the viable strategies for this lifeline have been implemented in context. The Vortex permits up to three attempts, but asks the operator to use the minimum number required.

SGA passage strategies may compete rather than stack. A different size or type, orientation, or assisted route can require a separate attempt; the prior attempt may identify the problem without predicting which alternative will work.

Make the next attempt earn its time.State the mechanical problem, the viable change, and the result that will decide whether the team continues or transitions.

Boundary: These matrices are training resources, not crisis-time checklists. They organize options; they do not require every intervention or prescribe three attempts. The operator selects only the changes that fit the patient, device, setting, and local plan.

Open the official Vortex SGA source →
Optional optimization studiesExplore the five categories in more detail.

Use the original Vortex matrix alongside the retained demonstrations. These are training references, not a sequence of interventions to exhaust.

Source plate // VortexNicholas Chrimes · Best-effort SGA training matrix · Original source retained
01 · ManipulationsChange patient, larynx, or deviceLegacy category mark
01 · ManipulationsPosition and geometryExternal study segment
02 · AdjunctsAssist passageLegacy category mark
02 · AdjunctsAssisted passage objectsLegacy study object
02 · AdjunctsAssisted insertionExternal study segment
02 · AdjunctsAssisted passagePAC motion study
03 · Size / typeChange the objectLegacy category mark
03 · Size / typeDevice-specific changeLegacy study object
04 · Suction / O2Clear the pathLegacy category mark
04 · SuctionAirway decontaminationAdvanced external linkout
05 · Muscle toneClinical decision boundaryLegacy category mark
Optional next // Compare the devices

Keep the Best Effort endpoint in view. The collection now shows which features and preparation requirements change from one SGA to another.

Gallery exit // Practice Studio

Move from the object to its placement.

Use the retained placement films and source instructions. The device-specific PAC practice cards are being prepared.

Enter the Practice Studio →
← Return to the device collection

Practice Studio // Supraglottic Airways

Rehearse with the exact device.

Use the current instructions for the exact model. These references support rehearsal; they do not replace device-specific training.

Start here // Device references

Choose the device in your hands.

No trainer nearby? Study the movement and compare models.

Watch once // Study the movement

Retained LMA-family demonstration. It illustrates movement; it is not a verified model-specific film for every Unique or Supreme variant.

LMA familyInsertion reviewPAC demonstration

Cover: AI-assisted LMA Unique study from the Gallery. Verify the exact model and markings against the device and manufacturer reference.

Watch once // Study the movement

Follow the Supreme demonstration, then return to the device and its current manufacturer instructions.

Device 02 // Manufacturer filmLMA® Supreme™ Airway Instructional VideoTeleflex · 1:56

Cover: AI-assisted LMA Supreme illustration from the Gallery. Verify markings against the actual device.

Watch on YouTube ↗
LMA technique stills & additional films
LMA family · 01Prepare the posterior surfaceLegacy technique still
LMA family · 02Advance along the palateLegacy technique still
LMA familyRead the exact size cardLegacy table · verify current IFU
LMA familyCompare the physical sizesObject family
LMA familyInsertion techniqueExternal study film
LMA familyDevice overviewABCs of Anaesthesia · external
Watch once // Study the movement

Follow the non-inflatable device through placement. Check the model against the current Intersurgical reference beside the film.

i-gelPlacement reviewPAC demonstration

Cover: AI-assisted i-gel study from the Gallery. Verify the exact model and markings against the device and manufacturer reference.

i-gel size studies & additional films
i-gelRead the exact size cardLegacy table · verify current IFU
i-gelCompare the physical sizesObject family
i-gelPlacement techniqueExternal study film
i-gelDevice deep diveExternal study film
Watch once // Study the movement

Follow the laryngeal tube through placement. Keep its dual-cuff system and device-specific instructions in view.

King LTS-DPlacement reviewPAC demonstration

Cover: AI-assisted King LTS-D study from the Gallery. Verify the exact model and markings against the device and manufacturer reference.

King device studies & additional films
King LTS-DRead the dual-cuff systemLegacy poster · current model check
King LTS-DTrace ports, cuffs, and channelsLegacy component study
King LTS-DRead the exact size cardLegacy table · verify Ambu IFU
King LTS-DCompare the physical sizesObject family
King LTS-DPlacement techniqueExternal study film
King LTS-DDevice essentialsExternal study film
Manufacturer-led study

Open the AuraGain guidance beside your device.

Device 05 // Manufacturer filmAmbu® AuraGain™ In-ServiceAmbu USA · 6:16

Study the demonstration, then return to your AuraGain and its current manufacturer instructions. Cover: AI-assisted gallery illustration.

Watch on YouTube ↗
Open AuraGain resources ↗Inspect AuraGain in the Gallery →
Manufacturer-led study

Open the Air-Q3G guidance beside your device.

Device 06 // Manufacturer filmAirLife Air-Q3 Inservice VideoAirLife · ANI-20026-C1 · 7:17

Study the Air-Q3 family demonstration, then follow the Air-Q3G instructions for your exact device. Cover: AI-assisted gallery illustration.

Watch on YouTube ↗
Open Air-Q3G resources ↗Inspect Air-Q3G in the Gallery →
Before you move on

Be able to name what is specific to your device and where its placement instructions live. Revisit the uncertain movement, or ask for support before practicing it. A demonstration is a reference—not evidence of physical skill.

Shared route // Optional retained studies

These inherited studies give context to the shared anatomical route. Device-specific preparation, sizing, placement, and assessment remain governed by the matching instructions.

Shared routeFollow the anatomical pathPlacement overview
Shared routeFast does not mean unexaminedLegacy claim object
Shared routePrepare the exact deviceLegacy study object
Shared routePosition changes passageLegacy study object
Shared routeUse the palate as the routeLegacy language
PAC practice cards // In preparation

Object in preparation // Device practice cards

A short practice sequence for each device.

Model-matched PAC cards will connect preparation, placement, assessment, optimization, and the stopping point without mixing instructions from different devices. Use the retained demonstrations and exact-device references above while these cards are being prepared.

OXY-05-STUDIO-01 · Planned PAC practice cards · Not a finished practice resource