Traditionally, the ramped position has been achieved with an assortment of blankets stacked behind the patient. For today’s obese patients, blankets simply are not enough. Blankets become unstable and can shift position during intubation and throughout the case. The reusable BoneFoam Troop Airway Management Elevation System offers a simple and predictable result for positioning obese patients. It improves the ease of breathing for the obese patient, which leads to better pre-oxygenation levels, facilitates intubation during surgery, and supports the patient’s respiratory mechanics.