Fig. 1. (A ) The two steps of the Chandy maneuver are performed sequentially. After insertion of the LMA-Fastrach ™ (LMA North America, Inc., San Diego, CA), optimal ventilation is established by slightly rotating the device in the sagittal plane, using the metal handle, until the least resistance to bag ventilation is achieved. This helps to align the internal aperture of the device with the glottic opening. (B ) Just before blind intubation, the LMA-Fastrach ™ is slightly lifted (but not tilted) away from the posterior pharyngeal wall using the metal handle. This prevents the endotracheal tube (ETT) from colliding with the arytenoids and facilitates the smooth passage of the ETT into the trachea.