Airway Positioning

  1. Perform hand hygiene and apply clean gloves. 
  2. Place the patient in a supine position. 
  3. For the head-tilt/chin-lift maneuver, lift the chin forward to displace the mandible anteriorly while tilting the head back with a hand on the forehead. (Do not use this maneuver when a neck injury is suspected or known.) 
If the head-tilt/chin-lift maneuver is unsuccessful or contraindicated, use either the jaw-thrust or the chin-lift maneuver. 

Jaw-thrust maneuver: Lift the mandible forward with your index fingers while pushing against the zygomatic arches with your thumbs. 

Chin-lift maneuver: Place one hand on the forehead to stabilize the head and neck. Grab the mandible between the thumb and index finger of the other hand. Lift the mandible forward. 
Reassess airway patency after any maneuver. 
  1. If the airway remains obstructed, suction the oropharynx as indicated, and then insert an oral or nasal airway. 
  2. Remove gloves and perform hand hygiene. 
  3. Document the procedure in the patient's record

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