A. Position patient semi-Fowler, sitting or supine.
B. Insert lubricated ET tube into dilated nostril and advance straight back (posteriorly).
C. Listen to end ET tube for sounds of patient’s breathing.
D. During inhalation, smoothly advance tube through glottic opening.
E. Inflate cuff to proper pressure and disconnect syringe.
F. Verify proper tube placement by secondary confirmation such as capnography or colorimetric device.
G. Secure device or confirm that the device remains properly secured.