What type of lubricant should you apply to an NPA prior to insertion?
Lubricate the nasopharyngeal airway with water-soluble lubricant or anesthetic jelly such as lidocaine gel.
Which of the following is a contraindication for the use of a nasopharyngeal airway?
Absolute contraindications for NPA and NT intubation include signs of basilar skull fractures, facial trauma, and disruption of the midface, nasopharynx or roof of the mouth.
When inserting a nasopharyngeal airway what should you do if resistance is felt?
3.8. 2 If resistance is felt, do not force. Apply lubricant around the tube and nostril, gently rotate the tube until it is free and then remove.
What is the proper insertion technique of a nasopharyngeal airway?
How to insert an NPA
- Lubricate 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.
What type of lubricant is used for an NPA?
NOTE: A mannequin or training aid will be used to insert NPA. 5. Lubricate the tube with a water-based lubricant or tap water.
When should a nasopharyngeal airway be used?
Indications for an NPA include relief of upper airway obstruction in awake, semicomatose, or lightly anesthetized patients; in patients who are not adequately treated with OPAs; in patients undergoing dental procedures or with oropharyngeal trauma; and in patients requiring oropharyngeal or laryngopharyngeal suctioning …
Which patients can nasopharyngeal airways 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.
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.
What is the first thing you should do before inserting a nasopharyngeal 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.
When should you insert a nasopharyngeal airway?
What is a robertazzi nasopharyngeal airway?
Our Robertazzi Nasopharyngeal Airway is made from a soft, flexible Neoprene material. The latex-free Robertazzi is the ideal way to maximize patient comfort while offering the best solution for latex sensitivity. Features: Softest latex free material. Larger trumpet.
How does a nasopharyngeal airway work?
An NPA is a tube that is designed to provide an airway passage from the nose to the posterior pharynx. NPAs can create a patent pathway and help avoid airway obstruction due to hypertrophic tissue. The NPA creates a patent airway throughout the distance of the tube.