What is the best first step in managing a patient with potential airway obstruction after extubation?

In managing a patient with potential airway obstruction after extubation, immediate suctioning of the airway is the best first step. This approach is crucial because post-extubation airway obstruction is often caused by the accumulation of secretions or edema in the upper airway. By suctioning, you can quickly clear any obstructive secretions that may be blocking airflow, providing the patient with immediate relief and allowing for better assessment of their respiratory status.

If suctioning is not performed, the patient's airway could remain compromised, leading to more severe respiratory distress or hypoxia. Once the airway is clear, further interventions can be considered based on the patient's condition. Other options, while potentially helpful later in the management process, do not address the immediate concern of airway clearance as effectively as suctioning does.