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What type of lubricant must be used when inserting the nasal airway?

What type of lubricant must be used when inserting the nasal airway?

Use a water soluble lubricant when inserting a nasopharyngeal airway. If resistance is felt during insertion of a nasopharyngeal airway, stop and try the other nostril.

What must you do first before inserting an oropharyngeal airway?

Before inserting the airway, clear the mouth of secretions such as vomit, blood, or sputum using a suction catheter. Place the oral airway in the mouth with the curved end towards the hard palate or the roof of the mouth.

Which of the following is the method for the insertion of a nasopharyngeal airway?

Insertion of an NPA involves the healthcare provider inserting the NPA into the nares with the concave side facing down to allow for insertion into the posterior pharynx behind the tongue. If there is resistance, the NPA can be rotated, which should allow the tube to fit snugly into the nares.

When should I use an OPA?

Oropharyngeal Airway OPA is used in persons who are at risk for developing airway obstruction from the tongue or from relaxed upper airway muscle. If efforts to open the airway fail to provide and maintain a clear, unobstructed airway, then use the OPA in unconscious persons.

What can happen if the oropharyngeal airway is too large?

An airway that is too large may reach the laryngeal inlet and result in trauma or laryngeal hyperactivity and laryngospasm. It is common practice by some clinicians to insert an oropharyngeal airway device upside down, or convex to the natural curvature of the tongue and then to rotate the airway 180 degrees.

How do you properly size an oropharyngeal airway?

Select the proper size airway by measuring from the tip of the patient’s earlobe to the tip of the patient’s nose. The diameter of the airway should be the largest that will fit. To determine this, select the size that approximates the diameter of the patient’s little finger.

How do I know what size nasopharyngeal airway to get?

When do you use NP airway?

Indications for Nasopharyngeal Airway

  1. Spontaneously breathing patients with soft tissue obstruction of the upper airway.
  2. Sometimes for dilation and anesthesia of the nasal passage to prepare for nasotracheal intubation.

Can you sleep with a nasopharyngeal airway?

Nasopharyngeal airway stents are an effective and well tolerated treatment for individuals with obstructive sleep apnea, according to findings presented at SLEEP 2018, the Annual Meeting of the Associated Sleep Societies.

What is the most serious potential complication of nasopharyngeal airway insertion?

Cribriform insertion is perhaps the most catastrophic complication of a nasopharyngeal airway, but it is also the least likely. Improper technique can cause the tube to enter the cribriform plate, causing soft tissue or skull damage, and potentially even penetrating the brain.

When should you not use OPA?

An OPA should not be used in a conscious or semiconscious individual, because it can stimulate gagging, vomiting, and possible aspiration. The key assessment to determine if an OPA can be placed is to check if the individual has an intact cough and gag reflex.

What should I use to lubricate my nasopharyngeal airway?

Inspect both nares to determine which side is wider. Lubricate the nasopharyngeal airway with water-soluble lubricant or anesthetic jelly such as lidocaine gel.

When do you need A nasopharyngeal airway?

Nasopharyngeal airways can be used in some settings where oropharyngeal airways cannot, eg, oral trauma or trismus (restriction of mouth opening including spasm of muscles of mastication). Nasopharyngeal airways may also help facilitate bag-valve-mask ventilation. Contraindications to Nasopharyngeal Airway

Can a pharyngeal Airways be used as an upper airway?

Pharyngeal airways (both nasopharyngeal and oropharyngeal) are a component of preliminary upper airway management for patients with apnea or severe ventilatory failure, which also includes

How to align the upper airway for optimal air passage?

Align the upper airway for optimal air passage by placing the patient into a proper sniffing position. Proper sniffing position aligns the external auditory canal with the sternal notch.