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Thirteen trainees completed baseline questionnaires, received tutorial and video education, and practiced both techniques ten times each across crossover phases. No insertion failures occurred with either technique. The first-attempt time was significantly shorter for standard LMA insertion than rotational insertion, and post-study analysis showed a trainee preference for the standard technique as a priority approach for beginners.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/simulation-based-comparison-of-standard-versus-rotational-laryngeal-mask-airway-insertion-techniques-in-novice-anesthesiologists-a-randomized-controlled-crossover-trial/408122/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/simulation-based-comparison-of-standard-versus-rotational-laryngeal-mask-airway-insertion-techniques-in-novice-anesthesiologists-a-randomized-controlled-crossover-trial/408122.png","ImageObject",300,407,{"name":92,"@type":93},"Anna Hans","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-07","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the study designed to compare?","Question",{"text":112,"@type":113},"The study compares standard versus rotational LMA insertion techniques using a manikin among novice anesthesiology trainees.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the training and evaluation carried out?",{"text":117,"@type":113},"Thirteen novice trainees received tutorial and video education, then practiced both techniques ten times each in a randomized crossover manner, followed by a questionnaire phase.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the key findings on insertion time and failure rates?",{"text":121,"@type":113},"No insertion failures occurred with either technique. First-attempt insertion time was significantly shorter with the standard technique than with the rotational technique.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},408122,1790813810,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},5909892332657,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Wiley  \nAnesthesiology Research and Practice Volume 2025, Article ID 7850095, 9 pages [https://doi.org/10.1155/anrp/7850095](https://doi.org/10.1155/anrp/7850095)  \nResearch Article  \nSimulation-Based Comparison of Standard Versus Rotational Laryngeal Mask Airway Insertion Techniques in Novice Anesthesiologists: A Randomized Controlled Crossover Trial  \nKumar D.  and Kala C.  \nDepartment of Anesthesia, Aga Khan University Hospital, Karachi 74800, Pakistan  \nCorrespondence should be addressed to Kumar D.; [dileep.kumar@aku.edu](dileep.kumar@aku.edu)  \nReceived 14 August 2025; Revised 15 November 2025; Accepted 28 November 2025  \nAcademic Editor: Harleen Khatra  \nCopyright © 2025 Kumar D. and Kala C. Anesthesiology Research and Practice published by John Wiley & Sons Ltd. Tis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.  \nBackground: Anesthesia trainers frequently experienced desaturation, airway trauma, and failed intubation with novice hands-on training for facemask and endotracheal intubation. Laryngeal mask airway (LMA) adaptation in anesthesia practice has ensured trainers’ ease in safely transforming sufcient airway management skills to develop competency among novice trainees. Tis study was designed to evaluate the manikin-based standard versus rotational LMA insertion techniques to analyze insertion ease and priority LMA insertion technique among novice anesthesia trainees.  \nMethods: Our randomized controlled crossover trial has enrolled 13 novice anesthesia trainees from multicenter hospitals. Te study comprised three phases. Initially, the study participants were inquired on a preformed questionnaire for supraglottic airway device knowledge, insertion techniques, and experiences. In the second phase, trainees have undergone educational tutorial, video presentation, and hands-on practice on a manikin for standard and rotational LMA insertion techniques. Following that, the participants were divided into two study groups to evaluate LMA insertion, 10 times each with standard and rotational ina crossover manner. Te third phase of the study was also questionnaire-based; trainees were inquired about the preferred LMA insertion technique for beginners.  \nResult: Te trainee’s prior knowledge of supraglottic airway devices and practical experience were equivocal. Tere were no insertion failure attempts with both standard and rotational LMA insertion techniques. Te time duration for the frst attempt with standard LMA insertion was signifcantly shorter (7.92 ± 2.43 s) compared to the time duration for the frst attempt with rotational LMA insertion (11.80 ± 3.41 s) on manikin. Te post–study analysis revealed trainees’ preference for the standard LMA insertion technique.  \nConclusion: Our study concludes that the standard LMA insertion technique is relatively easy to learn and practice on manikin compared to the rotational technique. Besides this, the novice anesthesia trainees have preferred standard LMA insertion asa priority technique in their clinical practice.  \n[Trial Registration:](Trial Registration: ClinicalTrials.gov)[ ClinicalTrials.gov](Trial Registration: ClinicalTrials.gov) identifer: NCT05544838  \nKeywords: LMA; manikin; rotational LMA technique; simulation; standard LMA technique  \n1. Introduction  \nAnesthesia training usually starts with airway management to ensure optimal oxygenation and ventilation to warrant safe anesthesia practice [1] . In an old era, the trainers were frequently experiencing desaturation, airway trauma, and  \nfailed intubation [2], with the beginners’ hands-on training for facemask and endotracheal intubation. Laryngeal mask airway (LMA) adaptation in anesthesia practice has ensured trainers’ ease in safely transforming sufcient airway management learning skills in clinical practice [3, 4] . Te trainees have also acquired competency with LMA","cbCaipAvNr6H9b8S","https://ap.wps.com/l/cbCaipAvNr6H9b8S","pdf",658362,"English","# Introduction\n# Methods\n# Results\n# Conclusion","[{\"question\":\"What is the study designed to compare?\",\"answer\":\"The study compares standard versus rotational LMA insertion techniques using a manikin among novice anesthesiology trainees.\"},{\"question\":\"How was the training and evaluation carried out?\",\"answer\":\"Thirteen novice trainees received tutorial and video education, then practiced both techniques ten times each in a randomized crossover manner, followed by a questionnaire phase.\"},{\"question\":\"What were the key findings on insertion time and failure rates?\",\"answer\":\"No insertion failures occurred with either technique. First-attempt insertion time was significantly shorter with the standard technique than with the rotational technique.\"}]","Simulation-Based Comparison of Standard Versus Rotational Laryngeal Mask Airway Insertion Techniques in Novice Anesthesiologists - A Randomized Controlled Crossover Trial | PDF",1790578328,23]