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You are ventilating an apneic adult patient with a BVM. The chest is rising minimally and you feel significant resistance with each breath. SpO2 is 72% and dropping. Which intervention is MOST appropriate?

Increase ventilation pressure to force air past the obstruction Perform direct laryngoscopy to visualize the airway Insert a nasopharyngeal airway and continue BVM Perform a needle cricothyrotomy immediately