Getting back to the original topic of positions to intubate. Most of the time, I have no problem sitting down and intubating. When in a hurry or stressed, it gets harder to intubate and I often struggle (or course that's when you need it the fastest). I had my K_Pouch done by Dr. Fazio and he always recommended laying on your back and bringing your knees up. That works most of the time along with relaxing so that the muscles or tissues in the area aren't tight. That solution makes it challenging sometimes in a public or office setting, but sometimes when you got to go, you got to go. am sure that has been quite a sight to see on the occasions I have been laying on the bathroom floor in a stall.