
Overview
This module describes how to insert a nasopharyngeal airway (NPA) in a patient who requires airway support.
Indications
Contraindications
Patient information and consent
How do I explain this procedure?
“I need to put a short tube through your nose into your throat to keep your airway open for breathing.”
What can my patient expect?
“This will be uncomfortable, but it won’t make you feel like throwing up, and you should be able to breathe more easily right away.”
What is my patient’s role?
“Tell me if you have a bleeding tendency or use blood thinners. Please keep still while I place the tube, and let me know if you feel severe pain while I’m placing it.”
Preparation
Documentation
Equipment
Site & Positioning
The patient may be lying on their back, or sitting upright. The patient’s head should be in a “sniffing the air” position.
Procedure
Follow medical asepsis with non-sterile gloves.
Troubleshooting
I can’t advance the NPA.
Don’t advance with force. Make sure the NPA is properly lubricated. Pull back slightly, and with a slight twisting action, advance again. If unsuccessful, try the other nostril. If still unsuccessful, consider another airway device.