Placement of Nasopharyngeal Airway

Indications

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  • • Nasopharyngeal airways provide a conduit for airflow between the nares and the pharynx.

    • Nasopharyngeal airways prevent mandibular tissue from obstructing the posterior pharynx.

    • Nasopharyngeal airways may be used in conscious patients (unlike oropharyngeal airways).

    • Nasopharyngeal airways may be used in children with impaired consciousness or in neurologically impaired patients with poor pharyngeal tone leading to upper airway obstruction.

    • Nasopharyngeal airways can be used to suction secretions.

Contraindications

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Absolute

  • • Nasal airway occlusions.

    • Nasal fractures.

    • Coagulopathy (because of the risk of epistaxis).

    • Cerebrospinal fluid leak.

    • Basilar skull fracture.

    • Adenoidal hypertrophy.

Equipment

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  • • A nasopharyngeal airway is a soft rubber or plastic tube.

    • Nasopharyngeal airways come in various sizes ranging from 12F to 36F.

    • A shortened tracheal tube may be used as a nasopharyngeal airway.

    • Lubrication jelly.

Risks

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  • • Nasal bleeding.

    • When using a shortened tracheal tube instead of a soft nasopharyngeal airway, injury to the soft tissues of the nasal passages may occur because of the rigid stiff plastic.

Jan 4, 2019 | Posted by in PEDIATRICS | Comments Off on Placement of Nasopharyngeal Airway

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