If suctioning is needed while inserting an oropharyngeal airway in an unconscious patient, which action is recommended?

• A. Remove the airway and suction before reinserting
• B. Select a smaller airway and try again
• C. Continue to insert the airway as you suction
• D. Stop suctioning and keep the airway in place

Answer: (C)

When establishing an airway in an unconscious patient, you want to keep the pathway clear as you place the device. Lacking protective reflexes, the tongue and secretions can quickly block the airway during insertion. Suctioning while you advance the oropharyngeal airway helps remove secretions or vomitus in real time, reducing the risk of aspiration and preventing obstruction as the airway is positioned. Pausing to suction after removing the device would leave the airway unsecured for longer and increase the chance of a lost airway. If a smaller airway is attempted or suctioning is stopped, you’re not addressing the immediate need to clear the airway during placement. So, advancing the airway while suctioning maintains patency and protects the airway as it is being established.