“…More severely affected patients will exhibit an increased respiratory effort with a prolonged inspiratory phase, open-mouth breathing, mild to severe airway noise, extension of the head and neck (orthopnea; see Figure 23.1), abduction of the elbows, restless behavior, and a reluctance to lie down. Common clinical findings of patients with an upper respiratory tract obstruction include absence of air movement, prolonged inspiratory phase with severe inspiratory and/or expiratory stridor or stertor, hyperthermia, hypersalivation, retching, and intolerance of handling [1,[3][4][5][6]. Neither the presence of pink mucous membranes nor absence of cyanosis in a patient with an upper airway obstruction is a reliable indicator of adequate oxygenation [3][4][5].…”