What is the maximum number of intubation and SGA attempts allowed?

• A. 1 attempt
• B. 2 attempts for each
• C. 3 attempts
• D. Unlimited

Answer: (B)

Limiting how many times you attempt airway placement is all about patient safety during airway management. Each additional manipulation of the airway raises the risk of trauma, swelling, bleeding, misplacement, and dangerous desaturation. The recommended rule is to allow two attempts for placing an endotracheal tube and two attempts for placing a supraglottic airway device (SGA). If intubation hasn’t succeeded after two tries, shift to the next plan—optimize mask ventilation, try a different technique or device (for example, a different laryngoscope blade or adjuncts, or a bougie), or consider alternative airway strategies and escalation as appropriate, all while ensuring oxygenation and seeking help as needed. This two-attempt limit helps balance the chance of success with the need to avoid harming the patient through repeated unsuccessful attempts.