What is the first step in the use of an oropharyngeal airway?

The first step in the use of an oropharyngeal airway is to clear the mouth and pharynx. This is crucial because the presence of foreign objects, secretions, or debris in the mouth can obstruct the airway and prevent effective ventilation. Clearing the airway ensures that the oropharyngeal airway can be inserted properly and will function effectively to maintain airway patency. It prepares the environment for the insertion of the airway, helping to reduce the risk of further complications during airway management.

While inserting the airway without preparation may seem expedient, doing so without clearing the mouth could exacerbate airway obstruction. Administering supplemental oxygen is important but is generally done after ensuring the airway is clear and patent. Positioning the patient on their side might be necessary in some situations but is not specifically required for the insertion of an oropharyngeal airway unless managing a specific airway concern. Overall, clearing the mouth and pharynx sets the foundation for effective airway management.