Ramping of patients

Ramping of patients has been shown to improve visualisation of the vocal chords during direct laryngoscopy and to improve first pass intubation success. This is especially important for higher BMI patients. Ramping involves elevation of the head and shoulders to achieve alignment of the sternal notch and the external auditory meatus.


Ramping is typically achieved using pillows or linen to position the patient in the “sniffing the morning air” position. This may be challenging when adequate linen or pillows are not readily available, or the patient is restless with potential ramp instability.

All-in-one solution

The OptiRamp provides a convenient “all-in-one” solution and should be positioned under the patients’ shoulders to elevate the head and neck so to achieve alignment of the sternal notch and external auditory meatus. If additional ramping is required, then a head ring or linen should be added to the ramp.

Position OptiRamp under head and neck of patient to optimally align key airway structures. The OptiRamp is covered in a robust material with water resistant seams that can be disinfected between patients using the same materials and methods used to clean the theatre table itself. Bleaches, alcohol, and chlorhexidine-based disinfectants are all suitable for cleaning. 

Advantages of OptiRamp


Manual ventilation with a manual resuscitator is easier with the OptiRamp than unstable cushions or linen and OptiRamp can be quickly removed as a single unit should CPR be necessary.


OptiRamp suits most patients but can be raised using standard pillows or linen if additional ramping is required.  (Future ramp expanders are being designed to allow even greater flexibility).


Less likely to move or become dislodged if patient is restless or head requires manipulation during intubation.

Simply wiped down between patients.
Easy to move around and store.

Single unit that can quickly be inserted making it suitable for emergency rooms as well as theatre.


More patients likely to be ramped meaning lower risk intubations.