Place the oropharyngeal airway (Guedel) on patient's face to check for correct size - tubing should extend from the corner of the mouth to the tip of the earlobe.
- Inserted in mouth, extending from the teeth to the oropharynx. - Prevents obstruction of the trachea by displacement of the tongue into the oropharynx. Keeps the airway open and keeps tongue in place which is handy for other procedures.
If the nasopharyngeal airway is too long, you should trim it to adjust the size. Ensure to measure and cut the airway to the appropriate length based on the patient's anatomy to avoid causing discomfort or injury.
Place the NPA on the patient's cheek and it should reach from his nose to his earlobe.
No, a nasopharyngeal airway should not be used in a patient with an endotracheal tube in place. The endotracheal tube already secures the airway and provides ventilation, making the use of a nasopharyngeal airway unnecessary and potentially harmful. Introducing a nasopharyngeal airway could cause trauma to the airway or displace the endotracheal tube.
Suction is used for airway management when the patient can't manage his or her own secretions.
general impression,mental statues,airway,breathing,circulation,patient priority
Because even though it is recommended for an unconscious patient, if the patient has sustained to severe of a trauma the nasal airway could damage the patient more than help them.
If there is no other chest or abdominal injury, and the patient is awake and conscious there is no need to worry about the airway
The patient can breath better when it is open
TONGUe
tongue
The most common cause of airway obstruction in any patient - supine or not - is the tongue. This is why the first maneuver that should be performed on a patient not breathing is the head-tilt/chin-lift or the jaw thrust. This is to help clear the tongue from the airway and may allow the person to breathe again.