When does intubation occur on a patient whose surgery will be performed in the prone position?

Intubation for a patient undergoing surgery in the prone position is ideally performed while the patient is still in the supine position on their gurney. This approach is favored because it allows for optimal access to the airway, ensuring that the patient can be properly ventilated and monitored during this critical phase. Intubating the patient in the supine position takes advantage of gravity, making it easier for the anesthesiologist or practitioner to visualize the vocal cords and secure the airway.

Moving a patient directly to the prone position before intubation can complicate the process. In prone positioning, the head and neck are often manipulated in ways that may obscure the airway, making it more challenging to successfully intubate. Additionally, any emergency intubation measures could be more difficult to perform in a prone position. The risk of airway complications increases if intubation is attempted after the patient has been positioned on the operating table.

The options focusing on intubating after the patient is placed on the operating table or just before the surgery starts are less desirable as they could hinder the ability to manage the airway effectively. Proper airway management and monitoring are vital, particularly when the surgical position will require the patient to be turned and potentially limit airway access.