If a patient gags while you are inserting an oropharyngeal airway, what should you do next?

When a patient gags during the insertion of an oropharyngeal airway, it indicates that the airway is not being tolerated and that the patient may be at risk for airway obstruction or aspiration. The most appropriate action to take in this scenario is to remove the airway and prepare suction to clear any secretions or obstructions that may have been stimulated by the gagging response.

Removing the oropharyngeal airway unhindered allows for the patient's airway to remain clear while also avoiding further trauma or discomfort that could be caused by forcing the device into place. Having suction ready ensures that any potential fluids or debris can be quickly cleared from the airway, providing a safer environment for either re-attempting the insertion or implementing other airway management techniques.

The other options do not address the immediate concern of maintaining a clear airway and responding to the gag reflex properly. Continuing to insert the airway while the patient is gagging could lead to further complications. Administering rescue breaths before ensuring that the airway is clear could also lead to aspiration. Finally, while calling for additional assistance is often a good practice, immediate airway management should take precedence in this situation.