Open the mouth slightly and lift the jaw.
Hold the handle of the scope horizontally.
Glide the scope forward while looking over the surface of the tongue.
Continue to move the scope forward.
When the posterior pharyngeal wall approaches,
slowly pull up the handle and move the scope along the curvature.
The epiglottis is in a shallow position and comes into view rather abruptly.
Climb over the epiglottis and identify the arytenoid. Confirm the position of the vocal cords and move forward into the glottis opening.
Confirm tip of the ET tube has completely passed the glottis.
Hold the scope in place steadily, and then slide the ET tube down.
Slide the ET tube into the trachea,up to the marker that indicates it is above the cuff.
Pull the scope out gently along the curvature
while holding the ET tube firmly.