If there is a leak in the supraglottic airway (SGA), what should you consider?

When assessing a leak in the supraglottic airway (SGA), it is crucial to evaluate the adequacy of ventilation. If there is still effective ventilation occurring despite the leak, it indicates that the SGA is sufficiently maintaining airflow to provide oxygenation and ventilation to the patient. The primary goal during resuscitation is to ensure that the patient is receiving adequate respiratory support.

However, it is important to closely monitor the situation. Maintaining adequate ventilation means that the SGA is likely still functioning, and thus it may not be necessary to replace it immediately unless other issues arise.

If ventilation becomes inadequate, or if the patient's condition does not improve, consideration should be given to either replacing the airway or taking further measures. In this context, continuing to ventilate as long as it is effective reflects a balanced approach, ensuring patient safety while managing airway concerns efficiently.