Background and Aims: Laryngeal mask airway is a novel device that bridges the gap in airway management between endotracheal intubation and face mask. In this study we wanted to determine the optimal insertion technique of LMA in children. The aim of this study is to compare the position of LMA in relation to laryngeal inlet between the two insertion techniques - the standard brain technique and rotational technique by using fibre optic bronchoscopy in children.

Methods: This is a randomised controlled study which included 60 patients divided in two groups of 30 each based on technique of insertion of LMA. After successful insertion, position of LMA is graded using fibre optic bronchoscope.

Results: In patients belonging to rotational technique group the incidence of FOB grade 1 is 96.67%and FOB grade 3 is 0%. Similarly, in standard technique group the incidence of FOB grade 1is 60% and FOB grade 3 is 3.33%.

Conclusion: Rotational technique of LMA insertion is associated with better positioning in relation to laryngeal inlet compared to standard technique as well as lesser attempts and decreased complications.