You are attempting orotracheal intubation with a laryngoscope handle and a #3 curved blade on a 210-pound, obese male. You cannot achieve adequate glottic visualization for passing the tube despite application of cricoid pressure. Which one of the following changes could be helpful on your next attempt?

Question

Quizplus · Accepted Answer

In this scenario, the use of a gum elastic bougie could be helpful on the next attempt. This device can help guide the endotracheal tube into the trachea even if visualization of the vocal cords is difficult. Alternatively, one might consider using video laryngoscopy or fiberoptic intubation for difficult airways. Options A and B involve changing the laryngoscope blade, but this may not necessarily improve visualization of the glottis. Ceasing application of cricoid pressure (Option D) could make intubation more difficult since it is an important maneuver to reduce the risk of aspiration.

You Are Attempting Orotracheal Intubation with a Laryngoscope Handle and a #3