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An oropharyngeal airway (also known as an oral airway, OPA or Guedel pattern airway) is a medical device called an airway adjunct used in airway management to maintain or open a patient's airway. It does this by preventing the tongue from covering the epiglottis, which could prevent the person from breathing. When a person becomes unconscious ...
Oropharyngeal airways are one of several different blind insertion airway devices. A blind insertion airway device (BIAD or blind insertion device) is a medical device used for airway management that ensures an open pathway between a patient's lungs and the outside world, as well as reducing the risk of aspiration, which can be placed without visualization of the glottis. [1]
A model of an oropharyngeal airway (OPA) preventing the tongue from obstructing the airway. An oropharyngeal airway (OPA) is a rigid tube that is inserted into the mouth through the oropharynx and placed above the tongue to move it away from the back of the throat. [2] [4] They are more commonly used than nasopharyngeal airways (NPAs). [4]
A nasopharyngeal airway inserted in the right nostril of a patient. The correct size airway is chosen by measuring the device on the patient: the device should reach from the patient's nostril to the earlobe or the angle of the jaw. [10] The outside of the tube is lubricated with a water-based lubricant so that it enters the nose more easily. [5]
Basic airway management is a concept and set of medical procedures performed to prevent and treat airway obstruction and allow for adequate ventilation to a patient's lungs. [1] This is accomplished by clearing or preventing obstructions of airways.
An oropharyngeal airway is acceptable, however nasopharyngeal airways should be avoided in trauma, particularly if a basilar skull fracture is suspected. [42] Endotracheal intubation carries with it many risks, particularly when paralytics are used, as maintenance of the airway becomes a challenge if intubation fails.
By 1992, the laryngeal mask was approved for sale and being sold in Australia, New Zealand, South Korea, Hong Kong, Taiwan, Malaysia, India and the United States. The anaesthesia community had been calling for practice guidelines and in 1992 the ASA commissioned a task force to establish practice guidelines for managing difficult airway situations.
In its basic (standard) version, the laryngeal tube is made up of a tube with a larger balloon cuff in the middle (oropharyngeal cuff) and a smaller balloon cuff at the end (oesophageal cuff). The tube is kinked at an angle of 30-45° in the middle; the kink is located in the larger cuff.