What Are The Indications For A Nasopharyngeal Airway?

When should you not use an NPA?

NASOPHARYNGEAL AIRWAY (NPA) The NPA is indicated when insertion of an OPA is technically difficult or dangerous.

NPA placement can be facilitated by the use of a lubricant.

Never force placement of the NPA as severe nosebleeds may occur.

If it does not fit in one nare, try the other side..

What would be a contraindication to inserting an oropharyngeal airway in a patient?

Avoid using an oropharyngeal airway on a conscious patient with an intact gag reflex. If the patient can cough, they still have a gag reflex, and an oral airway is contraindicated. If the patient has a foreign body obstructing the airway, an oropharyngeal airway should not be used.

How do you use a nasopharyngeal airway?

How to insert an NPALubricate the nasopharyngeal airway with water-soluble jelly.Insert into the nostril (preferably right) vertically along the floor of the nose with a slight twisting action. Aim towards the back of the opposite eyeball.Confirm airway patency.

When should a nasopharyngeal airway be used?

Nasopharyngeal airways are also used to keep the airway open and can be used with patients who are conscious or semi-conscious. For example, semi-conscious patients may need an NPA because they are at risk for airway obstruction but cannot have an OPA placed due to an intact gag reflex.

How often should a nasopharyngeal airway be changed?

every 2-4 daysTiming of NPT Changes In the first 10 days post insertion of the NPT, it should be changed every 2-4 days or PRN if secretions are affecting tube patency. More frequent occlusions may occur during this time from the trauma of initial insertion.

What is the most common complication after inserting an oral airway?

Two major complications can occur with the use of OPAs: iatrogenic trauma and airway hyperreactivity. Minor trauma, including pinching of the lips and tongue, is common. Ulceration and necrosis of oropharyngeal structures from pressure and long-term contact (days) have been reported.

Can nurses insert oropharyngeal airway?

2.1 The Registered Nurse (RN), Registered Psychiatric Nurse (RPN), Licensed Practical Nurse (LPN), Graduate Nurse (GN), Graduate Psychiatric Nurse (GPN), Graduate Licensed Practical Nurse (GLPN) will insert, maintain, suction and remove an oropharyngeal airway (OPA).

What drug is most effective in upper airway emergencies?

Nebulized epinephrine, via its alpha-1 effect of vasoconstriction, is a highly effective treatment for upper airway obstruction caused by croup. Asthma causes lower airway obstruction and is treated with albuterol whose beta-2 mechanism causes relaxation of the lower airways.

Which nostril does an NPA go in?

The right nostril is often preferred for NPA insertion given that it is typically larger and straighter than the left. A correctly sized NPA will have the flared end resting on the nostril.

What is a nasopharyngeal airway used for?

The nasopharyngeal airway (NPA) is a simple airway adjunct used in a number of healthcare disciplines, by staff trained to varying levels of competence in airway management. It has advantages over the oropharyngeal airway (OPA) as it can be used in patients with an intact gag reflex, trismus or oral trauma.

What are the indications for an oral airway?

IndicationsBag-valve-mask ventilation.Spontaneously breathing patients with soft tissue obstruction of the upper airway who are deeply obtunded and have no gag reflex.

What patient is an appropriate candidate for placement of an oropharyngeal airway Opa?

The oropharyngeal airway (OPA) is a J-shaped device that fits over the tongue to hold the soft hypopharyngeal structures and the tongue away from the posterior wall of the pharynx. OPA is used in persons who are at risk for developing airway obstruction from the tongue or from relaxed upper airway muscle.

Can a nasopharyngeal airway cause a nosebleed?

A nasopharyngeal airway may also trigger a nosebleed, further elevating the risk of aspiration, but careful monitoring of the patient can reduce this risk.

Is nasopharyngeal suctioning a sterile procedure?

Nasopharyngeal suctioning may be performed in the home using a portable suction machine. Under these circumstances, suctioning is a clean rather than a sterile procedure. Properly cleaned catheters can be reused, putting less financial strain on clients.

What should you measure to properly insert a nasopharyngeal 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.

What do you need for intubation?

Equipment includes the following:Laryngoscope (see image below): Confirm that light source is functional prior to intubation. … Laryngoscope handle, No. … Endotracheal (ET) tube.Stylet.Syringe, 10 mL (to inflate ET tube balloon)Suction catheter (eg, Yankauer)Carbon dioxide detector (eg, Easycap)Oral and nasal airways.More items…•

How does a King Airway work?

1 Goal/Purpose/Description 1.1 The King Airway (LT-D) is to be used as an alternative to endotracheal intubation for advanced airway management 1.2 It is placed in the esophagus and serves as a mechanical airway when ventilation is needed for patients who are over 4 feet tall and apneic or unconscious with ineffective …

What complications might arise from the use of a nasopharyngeal airway?

Complications with nasotracheal intubation include epistaxis, turbinate fracture, intracranial placement through a basilar skull fracture, and retropharyngeal dissection or laceration. After successful nasotracheal intubation, patients may develop sinusitis, which can lead to sepsis.

Which of the following is an example of an advanced airway?

Advanced Airway Examples are supraglottic devices (laryngeal mask airway, laryngeal tube, esophageal-tracheal) and endotracheal tube.