What type of lubricant is used for 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.

Do you lubricate NPA?

Lubrication, gentle rotation of the NPA and trying both nostrils are further methods that will ease insertion. These will reduce any risk of the often quoted but very infrequent complication of intracranial tube placement. Other complications of NPA placement relate to soft tissue damage of the nasal mucosa.

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.

What is the proper NPA insertion technique?

Insertion of an NPA involves the healthcare provider inserting the NPA into the nares with the concave side facing down to allow for insertion into the posterior pharynx behind the tongue. If there is resistance, the NPA can be rotated, which should allow the tube to fit snugly into the nares.

Which nostril is bigger for NPA?

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.

When should you not use an NPA?

NPAs should not be used on patients who have nasal fractures or an actively bleeding nose. In some cases, slight bleeding may occur when you insert the airway, which can be suctioned or wiped away.

How do you use NPA tube?

What is nasopharyngeal suctioning?

Background. Oro/nasopharyngeal suction is a method used to clear secretions from the oropharynx and nasopharynx through the application of negative pressure via a suction catheter or bulb syringe.

What is an NPA medical?

In medicine, a nasopharyngeal airway, also known as an NPA, nasal trumpet (because of its flared end), or nose hose, is a type of airway adjunct, a tube that is designed to be inserted into the nasal passageway to secure an open airway.

How do you insert a Nasotracheal tube?

With gentle, steady pressure, insert the tube directed towards the occipital protuberance on the back of the skull with the bevel turned towards the nasal septum. If the tube will not pass on one side, try the other. Some resistance may be encountered when the tube reaches the posterior nasopharynx.

What is the difference between nasopharyngeal and Nasotracheal suctioning?

Differences Between Nasopharyngeal and Nasotracheal Suctioning. The most important distinction between nasopharyngeal and nasotracheal suctioning is that nasotracheal suctioning is more invasive. This means that the latter requires a longer catheter and more precision.

How far do you insert a suction catheter?

Insert the suction catheter no more than 1 cm further. This places the end of the suction catheter 0.5 cm past the end of the ETT.

When should you stop Nasotracheal suctioning?

This includes: bradycardia, decreased oxygen saturation, blood pressure changes, laryngospasm, bronchospasm, and increased intracranial pressure. If complications such as these are observed, stop suctioning and remove the catheter.

How do you use Yankauer suction?

Insert yankauer catheter and apply suction by covering the thumb hole. Run catheter along gum line to the pharynx in a circular motion, keeping yankauer moving. Encourage patient to cough. Movement prevents the catheter from suctioning to the oral mucosa and causing trauma to the tissues.

How do you do tracheal suctioning?

What is the primary indication for tracheal suctioning?

Suctioning is performed when the patient is unable to effectively move secretions from the respiratory tract. This may occur with excessive production of secretions or ineffective clearance, which leads to the accumulation of secretions in the upper and lower respiratory tract.

What are the different types of suctioning?

What are the different types of suctioning?
  • Nasal suction (suctioning in the nose)
  • Oral suction (suctioning the mouth)
  • Nasopharyngeal and oropharyngeal suction (suctioning the throat)
  • Deep suctioning.

What is the best position for suctioning?

Position patient in semi-Fowler’s position with head turned to the side. This facilitates ease of suctioning. Unconscious patients should be in the lateral position.