Airway

Suction for gurgling respirations

Gurgling means fluid or secretions in the upper airway. Ventilating through that noise pushes material deeper and wastes time—clear what you can hear before you seal a mask or listen to lung sounds.

Suction the airway first, then ventilate with a bag-valve mask and reassess. An NPA may help afterward if tongue obstruction persists, but gurgling is a suction priority, not an adjunct-first pattern.