What should be used if the patient does not tolerate an oral airway?

When a patient is unable to tolerate an oral airway, a nasal trumpet serves as a suitable alternative. Nasal trumpets are designed to maintain an open airway and are often more comfortable for the patient compared to oral airways, especially in scenarios where an oral airway cannot be inserted due to gag reflex or other contraindications.

Nasal trumpets are inserted through the nostril and, when properly sized and placed, can help facilitate airflow to the lungs without causing significant discomfort or invasive trauma. This option is particularly useful in conscious or semi-conscious patients who may resist other forms of airway management.

While other options like bilateral bag-mask ventilation or endotracheal intubation are effective methods of securing the airway, they may require additional expertise and may not be suitable for every situation, especially if rapid airway access is needed in a less controlled environment. Suctioning devices also serve a different purpose, primarily to clear secretions or obstructions, rather than directly managing the airway. Thus, a nasal trumpet is the correct and generally preferred choice for patients who cannot tolerate an oral airway.