Certified Registered Nurse Anesthetist (CRNA) Practice Exam

Which maneuver is recommended during tracheal intubation for a patient with a full stomach?

1. Jaw thrust maneuver

2. Bag-mask ventilation

3. Slice's maneuver

4. Head tilt-chin lift

The correct answer is: Slice's maneuver

The recommended maneuver during tracheal intubation for a patient with a full stomach is the Slice's maneuver. This technique involves creating more space in the upper airway, which is crucial in the management of airway difficulties, particularly in patients at risk for aspiration due to a full stomach. Using the Slice's maneuver helps to minimize airway obstruction and improve visualization of the vocal cords during intubation. It is especially useful in patients who may have increased intra-abdominal pressure or are at greater risk of regurgitation, since careful manipulation can prevent complications associated with the airway during the procedure. In comparison, other techniques such as bag-mask ventilation are aimed at providing respiratory support rather than facilitating intubation in challenging situations like a full stomach. The jaw thrust maneuver and head tilt-chin lift can be beneficial in maintaining an open airway but may not be as effective for direct intubation in high-risk patients.