The goal of this clinical trial is to learn if two person lateral rotation technique of LMA insertion is more successful than the standard technique in achieving effective ventilation on the first introduction of the LMA .The main questions it aims to answer are:
Does two person lateral rotation technique of LMA insertion lower the number of times needed to inesrt the LMA ?
Researchers will compare two person lateral rotation technique of LMA insertion to standard technique to see if it is more successful
Participants will be subjected to the two way of LMA insertion
Adult patients aged 18-65 years
American Society of Anesthesiologists (ASA) physical status I-II
Scheduled for elective superficial surgical procedures under general anesthesia (e.g., limb orthopedic surgery, hernioplasty, soft tissue excision)
Anticipated surgical duration < 90 minutes
- Anticipated difficult airway (Mallampati grade IV, thyromental distance < 6 cm, limited neck extension)
History of gastroesophageal reflux disease or increased aspiration risk
Full stomach or emergency surgery - Intra-abdominal, laparoscopic, head and neck, or prone-position procedures - Known allergy to anesthetic agents
Pregnancy