Welcome to the lesson on basic airway adjuncts. In this video, we'll discuss when to use the three basic airway adjuncts, oral pharyngeal airway, nasal pharyngeal airway, and suctioning. The oral pharyngeal airway, or IPA is a j shaped device that fits over the tongue to hold the soft, hypo pharyngeal structures in the tongue away from the posterior wall of the pharynx. BPA is used in individuals who are at risk for developing airway obstruction from the tongue or from relaxed upper airway muscles. If efforts to open the airway fail to provide and maintain a clear, unobstructed airway, then use the LPA and unconscious individuals. You should not use an LPA unconscious or semi conscious individuals because it can stimulate gagging and vomiting.
The key assessment is to check whether the individual has an intact cough and gag reflex. If so, they do not use an LPA the nasal pharyngeal airway, or NPA is a soft rubber or plastic uncut tube that provides a control Do it for airflow between the narrowest and the pharynx. The NPA is used as an alternative to an O pa in individuals who need a basic airway adjunct. Unlike the oral airway, NPS may be used unconscious or semi conscious individuals with intact coughing gag reflex. Use NPA when insertion of an LPA is technically difficult or dangerous. Use caution or avoid placing NPS in individuals with obvious facial fractures.
Suctioning is an essential component of maintaining a patent airway. providers should suction the airway immediately if there are copious secretions, blood or vomit. attempts at suctioning should not exceed 10 seconds. To avoid hypoxemia follow suctioning attempts with a short period of 100% oxygen administration. monitor the individual's heart rate, pulse oxygen saturation, and clinical appearance during suctioning. If you see a change in monitoring parameters, then interrupt suctioning and administer oxygen until the heart rate returns to normal and until clinical condition improves, assist ventilation as warranted.
This concludes our lesson on basic airway adjuncts. Next, we'll review basic airway techniques.