With the large and complete view of the airway afforded by the
video technology, providers are also able to overcome or avoid com-
mon intubation obstacles they face when caring for obese patients.
For example, providers can watch the advancement of the laryngo-
scope and alter its movement as needed for more precise placement
and prevention of injuries or damage to airway structures. Video
laryngoscopes also enable providers to establish airways with less
movement of the patient's head and neck, a key to caring for obese
individuals who have thicker and larger anatomy, which can make
manipulation and intubation difficult.
• Supraglottic airways can be inserted into the pharynx to allow
ventilation, oxygenation and administration of anesthetic gases, with-
out the need for endotracheal intubation. The latest options have
received recent upgrades. They're easier to place, cause less airway
trauma, improve seal pressure and provide better gastric access. A
variety of sizes should be stocked in your emergency airway cart.
• Disposable flexible intubation video scopes, which can facili-
tate tracheal intubation in patients with anticipated or unanticipat-
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