You should not trust hydraulic jacks - same concern as with air bags - they can blow out.
Jack stands are needed if your jacking a wheel off the ground, then you place them under the axle. Bu they don't work well to support frame as they will be too short to reach the frame rails, and even if they were tall enough, there is no clear place to put them under the frame.
The ramp is best way.
I leave the air bags filled when I am doing work (like greasing, or chasing down an air leak). But I can also get under coach (when its on the ramps) with bags deflated. I can go under from the rear end (under engine and tranny) when bags are deflated and then roll my creeper up to the front of tandems. Once under the body skirt there is plenty of room between the frame rails to fit (sit up) and work.
I only put the end of coach I'm working on up on the ramps (not both ends at the same time - But I suppose you could if you had four ramps).