Start by explaining the procedure to the patient

Start by explaining the procedure to the patient, and obtaining consent to do it if available from the patient or family, and then positioning the bed to 0°, and sedating the patient, if the environment and equipment permits. Now tilt back the patients head, and using a laryngoscope visualize the vocal box, and insert the tube into the airway, guiding it with the laryngoscope, towards the vocal box, but not at it. Now attach a Endotracheal Tube Cuff to the end of the tube, and attach means of ventilation to it, such as Manual bag valve ventilation, or automatic, machine assisted ventilation