SAACI Jim's term for this maneuver is SAACI ’Sack-E or Saki’ which stands for Suction Assisted Airway Catheter Insertion. This is especially useful in massive hemoptysis patients! Start performing standard SALAD. If glottis is visualized, pass suction catheter through cords Pass Bougie through suction Remove suction catheter over bougie Place ETT over bougie. Note: This is outside the auspices of the the product labeling–use based on your own judgment!