I have found that making the patient breathe through his or her nose with mouth closed opens up the lumen much more than when the patient is breathing with mouth open. In addition, the operator gets a clear orientation to move the bronchoscope ahead. This maneuver, which I call Magazine’s air-splinting maneuver, has been successful in opening up the lumen in 20 such patients. All the patients were given IV midazolam for sedation and could be aroused to follow the verbal instructions for performing the maneuver. If the level of sedation is deeper, the patient may not be expected to do the same. The head-tilt chin-lift technique alone fails to open the lumen in these patients. However, the combination of both is useful only if there is additional obstruction due to the tongue falling back against the posterior pharyngeal wall. In patients in whom the lumen of the oropharynx is visible, this maneuver opens it up further and, thus, enlarges the field of vision in some cases.