Which of the following is a facility qualification to support airway management during sedation?

• A. Access (entry) and Egress (exit)
• B. Have the monitor in a location to be easily visualized
• C. Be able to alter patient position
• D. Be able to maintain the airway

Answer: (D)

Sedation can blunt airway reflexes and ventilation, so the facility must be prepared to keep the airway open and provide ventilation as needed. Being able to maintain the airway means having the skills and equipment to prevent and relieve obstruction, perform airway maneuvers, suction, and provide ventilation, escalating to advanced airway support if necessary. Other safety features like easy access and egress, having monitors visible, or the ability to reposition the patient are important, but they don’t by themselves guarantee airway management. The essential capability for airway support during sedation is the ability to maintain the airway.