In Brief:
IMPLICATIONS: In obese patients, the 25-degree back-up position before induction is a key step in achieving good intubating conditions after direct laryngoscopy. This head-elevated laryngoscopic position, usually achieved by placing patients on a ramp created using blankets, can also be achieved by reconfiguring the operating room table to create a table ramp. This table-ramp method can be used under urgent conditions, without the added expense of positioning devices, and may prevent possible injury to the patient or providers that can occur during removal of positioning devices after intubation.
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