Airway Placement Technique
Airway Placement Technique - Related Videos
04:56
Laryngeal Mask Airway (LMA) Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway (SGA)
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2023
This protocol is designed to describe a method to place and establish a supraglottic (alternative) airway during neonatal resuscitation. It can be used in situations where frontline providers cannot ventilate or endotracheally intubate neonates requiring resuscitation.
05:43
Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
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Cited by 11 •
2017
The topical anesthetic lidocaine was atomized using a high oxygen flow through the working channel of a flexible intubating endoscope to achieve topical airway anesthesia for awake endotracheal intubation. We prefer this modified spray-as-you-go technique for endoscopic intubation to classical bolus application because of higher patient satisfaction and better compliance.
06:57
Arterial Line Placement
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2023
Source: Sharon Bord, MD, Department of Emergency Medicine, The Johns Hopkins University School of Medicine, Maryland, USA When monitoring patients, it is important to obtain values that are accurate and reliable. Blood pressure monitoring is one of the essential vital signs, and for a majority of patients, measuring it utilizing non-invasive techniques provides accurate values. However, there are situations in which the blood pressure requires more exact, specific, and reliable measurements.
01:30
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
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2025
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
09:51
Intraosseous Needle Placement
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2023
Source: Julianna Jung, MD, FACEP, Associate Professor of Emergency Medicine, The Johns Hopkins University School of Medicine, Maryland, USA For unstable patients requiring urgent administration of medications, fluids, or blood products, establishing vascular access quickly is essential. However, there are many factors that can complicate placement of a peripheral intravenous cannula (PIV), and it is extremely common for PIV attempts to fail. PIV placement may be technically challenging in small...
FAQs
Patient assessment determines which airway device and approach best fit the clinical situation. Providers consider whether the patient needs airway patency, oxygen delivery, ventilation, anesthesia, or resuscitation support, then select a supraglottic airway or endotracheal tube and choose oral or nasal positioning. This matching process helps address obstruction, aspiration risk, and the need for mechanical ventilation.
A supraglottic airway and an endotracheal tube provide airway support through different anatomical positions. The supraglottic device is positioned above the laryngeal opening, whereas the endotracheal tube is advanced through the airway to support ventilation more directly. The appropriate choice depends on the clinical situation, intended support, and provider assessment rather than on a single universally preferred device.
Anatomical landmarks guide the provider toward the intended airway path during oral or nasal insertion. Using these landmarks helps distinguish the airway route from surrounding structures and supports controlled positioning of the selected device. This attention to anatomy is especially important when rapid airway support is needed, because an incorrectly positioned or blocked device can fail to maintain effective airflow.
Verification combines several clinical observations rather than relying on insertion alone. Providers assess airflow, chest movement, and oxygenation to determine whether the device is functioning as intended. These findings help identify misplaced or blocked airways and support rapid correction. Confirmation is therefore an active monitoring step that continues after positioning, particularly when ventilation or resuscitation depends on reliable airway support.
A basic workflow begins with patient assessment and selection of an appropriate device and route. The provider then positions the supraglottic airway or endotracheal tube using anatomical landmarks, followed by confirmation of airflow, chest movement, and oxygenation. Ongoing recognition of obstruction, blockage, or misplacement completes the process by prompting timely correction and restoration of effective airway support.
Airway placement technique is used when clinicians need dependable airway support during emergency care, anesthesia, critical care, procedural anesthesia, mechanical ventilation, or resuscitation. Its role varies with the situation, from preventing obstruction to supporting oxygen delivery and ventilation. Training focuses on applying the technique under these conditions while recognizing complications that could compromise airflow or increase aspiration risk.