What is the next option if intubation is unsuccessful?

When intubation is unsuccessful, placing a supraglottic airway, such as an IGel, is a logical next step because these devices are designed for ease of placement and can effectively secure the airway in situations where traditional intubation fails. Supraglottic airways are less invasive and can rapidly provide ventilation, which is critical in an emergency situation where maintaining oxygenation is essential. They are often used as an alternative means of airway management in cases where other methods are not effective or feasible.

Consideration of the other options helps contextualize this choice. Performing a surgical airway procedure, while sometimes necessary, is typically reserved for extreme cases when airway access cannot be achieved by any other means. Reassessing the patient's overall condition is always important but does not provide an immediate solution to airway management. Contacting advanced medical services may be a prudent action, yet it would delay intervention and could compromise the patient's condition further if immediate airway management is needed. Thus, attempting to place a supraglottic airway is the most direct approach to securing the airway in a timely manner after failed intubation.