Steps for Using a Nasopharyngeal Tube
✅ Nasopharyngeal Airway (NPA) – Step-by-Step Instructions
1. Patient Assessment
Ensure the patient has spontaneous breathing but may have partial airway obstruction.
Confirm the presence of a gag reflex (avoid using an oropharyngeal airway in such cases).
2. Select the Correct Size
Choose the appropriate NPA based on patient size and age.
The ideal length is from the tip of the nose to the earlobe (or angle of the mandible).
3. Inspect and Prepare the Device
Check the airway for packaging integrity and expiration date.
Ensure the lumen is clear and undamaged.
4. Lubricate the Airway
Apply a water-soluble lubricant generously to the entire outer surface of the NPA.
Do not use petroleum-based lubricants.
5. Position the Patient
Place the patient in a neutral or slightly extended head position.
Use the sniffing position if possible.
6. Insert the NPA
Gently insert the airway into the larger or more patent nostril.
Bevel should face the nasal septum (inward).
Advance the tube following the natural curve of the nasal passage—do not force it.
7. Confirm Placement
Observe for unobstructed airflow and chest rise.
Patient should be able to breathe through the device without resistance.
Listen for airflow and monitor oxygen saturation.
8. Secure the Device
The flared end should rest against the nostril to prevent inward displacement.
Tape may be used if necessary, especially during transport or extended use.
9. Monitor and Reassess
Continually monitor airway patency and patient comfort.
Remove or replace if the tube becomes blocked, dislodged, or no longer needed.
10. Disposal (if single-use)
Discard in a biohazard container according to hospital protocol.
Reusable NPAs should be reprocessed as per manufacturer guidelines.
