The LMA-Supreme (S-LMA) is a relatively new supraglottic airway device that presents combined features of the LMA-ProSeal (high seal cuff, gastric access and bite block to facilitate ventilation, airway protection and airway obstruction, respectively), the LMA-Fastrach (fixed curve tube and guiding handle - to facilitate insertion and fixation) and the LMA Unique (single-use - prevention of disease transmission). There are few reports of adverse events related to supraglottic devices; to the best of our knowledge there is only one report of nerve damage related to its use no life-threatening complications have been reported. The following report is made with the consent of the patient's family.
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