# Nasopharyngeal Airway Device Insertion

## 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.

## Risks

## References