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Nasopharyngeal Airway

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2. Nasopharyngeal airway (NPA)

Nasopharyngeal airway (NPA) Nasopharyngeal airway (NPA) | Great Ormond Street Hospital Google Tag Manager Navigation Search Search You are here Nasopharyngeal airway (NPA) Nasopharyngeal airway (NPA) ). The purpose of a NPA is to bypass upper airway obstruction at the level of the nose, nasopharynx or base of the tongue. A correctly placed NPA will sit just above the epiglottis, having separated the soft palate from the posterior wall of the oropharynx. This knowledge is vital if the NPA (...) in theatre at the time of the palate repair. Those that have existing nasopharyngeal airways are inserted under the respiratory teams who use the crown to heel measurement chart as a guide. Emergency care Measure the required length for the nasopharyngeal tube by measuring the tube from tip of the child’s nose to the tragus of their ear ( ). The appropriate tube width/size can be estimated by matching its diameter against the opening of the child’s nostril; when inserted, it should not cause blanching

2014 Publication 1593

3. Estimation of nares-to-epiglottis distance for selecting an appropriate nasopharyngeal airway. Full Text available with Trip Pro

Estimation of nares-to-epiglottis distance for selecting an appropriate nasopharyngeal airway. The nasopharyngeal airway is an important equipment in airway management, a correct placement is crucial for its effectiveness. We measured the nares-to-epiglottis distance (NED) and examined the correlations of the optimal insertion length (NED-1) with patient characteristics and various external facial measurements. We aimed to develop a simple method for estimating the optimal insertion length (...) the minimal differences from NED-1 and with the most patients showing <1 cm differences from NED-1.The optimal insertion depth of nasopharyngeal airway can easily be predicted by the distance from philtrum-to-ear tragus, and a nasopharyngeal airway of an appropriate size can be selected accordingly.

2019 Medicine

4. Pediatric nasopharyngeal airways expand when exposed to saline. (Abstract)

Pediatric nasopharyngeal airways expand when exposed to saline. Nasopharyngeal airways (NPA) are commonly used to relieve upper airway obstruction in children. They must be sized to extend posterior to the tongue base but remain above the epiglottis. To avoid obstruction from nasal secretions, frequent irrigation with saline is required. We hypothesized that NPAs would swell when exposed to saline irrigation.Twenty-five green Rusch NPA size 12, 14, 16, 18 and 20 Fr were submerged in 2 L (...) over the first five days.NPAs expand significantly when exposed to saline with the greatest increase in length occurring in the first five days. This could lead to gagging or airway obstruction in small children. Patients with NPAs should be monitored closely for these signs and new materials should be sourced to prevent these issues.Copyright © 2019 Elsevier B.V. All rights reserved.

2019 International Journal of Pediatric Otorhinolaryngology

5. The Nasopharyngeal Airway: Estimation of the nares-to-mandible and nares-to-tragus distance in young children to assess current clinical practice. (Abstract)

The Nasopharyngeal Airway: Estimation of the nares-to-mandible and nares-to-tragus distance in young children to assess current clinical practice. Nasopharygeal airways are used in urgent situations to alleviate airway obstruction. Guidelines for measuring the length of the NPA differ between national and international guidelines, and the evidence base for these measurements is lacking. The purpose of this study was to measure the nares-epiglottis and nares-vocal cord distances in young (...) and nares-vocal cords distances significantly correlated (p-value <0.05). The nares-tragus distance showed strong correlation with the nares-epiglottis and nares-vocal cord distance compared to the nares-mandible distance (p-value <0.05).In conclusion, the length of a nasopharyngeal airway in children under the age of twelve years can be predicted using the nares-tragus external anatomical distance minus 10 mm.Copyright © 2019 Elsevier B.V. All rights reserved.

2019 Resuscitation

6. Perioperative airway management of a 16‐year‐old boy with progressive airway obstruction due to juvenile nasopharyngeal angiofibroma Full Text available with Trip Pro

Perioperative airway management of a 16‐year‐old boy with progressive airway obstruction due to juvenile nasopharyngeal angiofibroma Juvenile nasopharyngeal angiofibroma (JNA) involves difficult anesthetic management because of the risk of massive bleeding, while airway management is rarely a problem in JNA. This report presents an unusual case of JNA causing airway obstruction.

2017 Clinical Case Reports

7. Nasopharyngeal airway aspiration: An uncommon cause of sudden respiratory distress in hospitalized patients Full Text available with Trip Pro

Nasopharyngeal airway aspiration: An uncommon cause of sudden respiratory distress in hospitalized patients An elderly, bed ridden patient with a history of stroke was admitted for management of aspiration pneumonia. Two days after insertion of a nasopharyngeal airway, sudden respiratory distress prompted further investigations which led to the eventual diagnosis and removal of the nasopharyngeal airway that had been aspirated. The device was removed under conscious sedation with fiber optic

2018 Turkish journal of emergency medicine

8. Circulating 25-hydroxyvitamin D, nasopharyngeal airway metabolome, and bronchiolitis severity. Full Text available with Trip Pro

Circulating 25-hydroxyvitamin D, nasopharyngeal airway metabolome, and bronchiolitis severity. Low circulating 25-hydroxyvitamin D (25OHD) levels are a risk factor for acute respiratory infection (eg, bronchiolitis) in children. However, little is known about the relation of circulating 25OHD with the many downstream functional molecules in target organs-such as the airway-and with clinical outcomes. In this prospective multicenter study of infants (age <1 year) hospitalized with bronchiolitis (...) , we measured serum 25OHD levels and profiled the metabolome of 144 nasopharyngeal airway samples. Among 254 metabolites identified, we defined a set of 20 metabolites that are related to lower serum 25OHD and higher vitamin D-binding protein levels. Of these metabolites, 9 metabolites were associated with a significantly higher risk of positive pressure ventilation use. These metabolites were glycerophosphocholines esterified with proinflammatory fatty acids (palmitate, arachidonate, linoleate

2018 Allergy

9. Nasopharyngeal Airway Guide Nasogastric Tube Placement

Nasopharyngeal Airway Guide Nasogastric Tube Placement Nasopharyngeal Airway Guide Nasogastric Tube Placement - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Nasopharyngeal Airway Guide Nasogastric Tube (...) and tongue drop also made the NG tube coil in the mouth easily. Investigators assume nasopharyngeal airway can facilitate NG tube insertion by opening a channel from nostril to epiglottis and reduce complications by protecting nasal cavity while inserting NG. Condition or disease Intervention/treatment Phase Nasogastric Tube Nasopharyngeal Airway Anesthesia, General Procedure: With nasopharyngeal airway Procedure: Without nasopharyngeal airway Not Applicable Study Design Go to Layout table for study

2018 Clinical Trials

10. Nasopharyngeal Airway Facilitate Transnasal Humidified Rapid Insufflation Ventilatory Exchange

Nasopharyngeal Airway Facilitate Transnasal Humidified Rapid Insufflation Ventilatory Exchange Nasopharyngeal Airway Facilitate Transnasal Humidified Rapid Insufflation Ventilatory Exchange - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one (...) or more studies before adding more. Nasopharyngeal Airway Facilitate Transnasal Humidified Rapid Insufflation Ventilatory Exchange The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03741998 Recruitment Status : Not yet

2018 Clinical Trials

11. Nasopharyngeal Versus Laryngeal Mask Airway in Anaesthesia for Bilateral Blepharoplasty

Nasopharyngeal Versus Laryngeal Mask Airway in Anaesthesia for Bilateral Blepharoplasty Nasopharyngeal Versus Laryngeal Mask Airway in Anaesthesia for Bilateral Blepharoplasty - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies (...) before adding more. Nasopharyngeal Versus Laryngeal Mask Airway in Anaesthesia for Bilateral Blepharoplasty The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03510949 Recruitment Status : Completed First Posted : April 27, 2018 Last Update Posted : July 3, 2018 Sponsor: Hala Salah El-Din El-Ozairy

2018 Clinical Trials

12. Nasopharyngeal Airway

Nasopharyngeal Airway Nasopharyngeal Airway Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Nasopharyngeal Airway Nasopharyngeal (...) Airway Aka: Nasopharyngeal Airway , Nasal Pharangeal Airway , Nasal Airway , Nasal Trumpet II. Indications Airway maintenance placement difficult Semiconscious patient not tolerating guide in III. Contraindications Facial injury IV. Complications Esophageal intubation (if too long) Laryngospasm (less likely than with ) Nasal mucosa injury and secondary blood aspiration V. Sizing ral Airway diameter should not be too large Should not blanche the nasal ala Length: Tip of the nose to the tragus

2018 FP Notebook

13. Sterile versus Clean Gloves during Suctioning of Orotracheal, Nasotracheal, and Nasopharyngeal Sites

Guidelines – Unclear Methodology 1. Ferguson M, Cooke J, Truscott K. Nasopharyngeal airway (NPA) [Internet]. London (GB): Great Ormond Street Hospital for Children NHS; 2014 Feb 2 [cited 2015 May 4]. Available from: http://www.gosh.nhs.uk/health-professionals/clinical-guidelines/nasopharyngeal- airway-npa/ See: Inserting the NPA 2. Moffatt F, Scothern H. Clinical guidelines/nursing: guideline for adult nasal and oropharyngeal suction [Internet]. Nottingham (GB): Nottingham University Hospitals NHS; 2011 (...) Sterile versus Clean Gloves during Suctioning of Orotracheal, Nasotracheal, and Nasopharyngeal Sites Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

14. Olfaction in Juvenile Nasopharyngeal Angiofibroma: The first study. (Abstract)

Olfaction in Juvenile Nasopharyngeal Angiofibroma: The first study. To study the pattern of olfactory dysfunction/recovery in juvenile nasopharyngeal angiofibroma (JNA).Olfactory assessment was undertaken in 30 patients (category1) both pre- & post-operatively and in another 18 (category 2) only postoperative. All patients underwent transpalatal excision and variables of interest included age, radiological stage/parameters & tumor size.Objective olfactory dysfunction was seen in 60% while (...) surgery.In this first study of olfaction in JNA many new trends have been appreciated. In general, deteriorations of olfaction were seen due to 'vascular-concussion' effect in early postoperative phase where post-surgical clearance of airway showed minimal effect in terms of improvement. The hypervascularity of olfactory epithelium with possible hormonal effects may be responsible for the unique pattern of olfactory function and recovery in JNA.Copyright © 2019 Elsevier Inc. All rights reserved.

2020 American Journal of Otolaryngology

15. A feasibility study in the treatment of obstructive sleep apnea syndrome and snoring: Nasopharyngeal stent. (Abstract)

A feasibility study in the treatment of obstructive sleep apnea syndrome and snoring: Nasopharyngeal stent. The objective of this study is to create a new choice of treatment with nasopharyngeal stent in isolated retro palatal obstruction and snoring for the treatment of obstructive sleep apnea syndrome (OSAS).The study included five patients with mild OSAS and snoring. Nasopharyngeal stents were applied in these patients with drug-induced sedation endoscopy.With the nasopharyngeal stents, we (...) aimed to prevent the soft palate to fall backwards while sleeping, especially at supine position in order to prevent the occurrence of apnea and hypopnea, providing a way for the airway to remain open as well as a support behind the soft palate and thus prevent snoring based on the vibration created by draught.We suggest a new alternative treatment approach to devices that need to be continuously used such as CPAP or intraoral devices or surgical methods that have many unwanted discomforts

2020 American Journal of Otolaryngology

16. Nasopharyngeal cultures in children; when, what and why? (Abstract)

Nasopharyngeal cultures in children; when, what and why? Nasopharyngeal cultures are commonly used to determine the causative bacteria in upper airway infections. However, several bacteria can occupy the nasopharynx simultaneously and most healthy children are asymptomatic carriers of presumptive pathogens. This makes the interpretation of nasopharyngeal cultures difficult. Knowledge about which bacteria reside in the nasopharynx can assist the physician in the choice of antibiotic treatment (...) and might also predict the risk of complications. Today, little is known about how nasopharyngeal cultures are being used in clinical practice.The aim of this study was to explore how nasopharyngeal cultures are used in clinical practice, when and why they are performed, what they show, and what impact they have on the treatment of the patient.The results of all nasopharyngeal cultures taken from children aged 0-12 years in the county of Skåne, Sweden, during 2018 were obtained. Medical charts from

2020 International Journal of Pediatric Otorhinolaryngology

17. Childhood Nasopharyngeal Carcinoma Treatment (PDQ®): Health Professional Version

and pharynx, and it accounts for about one-third of all cancers of the upper airways in children.[ , ] Nasopharyngeal carcinoma is very uncommon in children younger than 10 years but increases in incidence to 0.8 cases per 1 million per year in children aged 10 to 14 years and 1.3 cases per million per year in children aged 15 to 19 years.[ - ] The incidence of nasopharyngeal carcinoma is characterized by racial and geographic variations, with an endemic distribution among well-defined ethnic groups (...) Childhood Nasopharyngeal Carcinoma Treatment (PDQ®): Health Professional Version Childhood Nasopharyngeal Cancer Treatment (PDQ®) - PDQ Cancer Information Summaries - NCBI Bookshelf Warning: The NCBI web site requires JavaScript to function. Search database Search term Search NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. PDQ Cancer Information Summaries [Internet]. Bethesda (MD): National Cancer Institute (US); 2002-. PDQ Cancer Information

2018 PDQ - NCI's Comprehensive Cancer Database

18. Comparison of Nasopharyngeal Airway Device and Nasal Oxygen Tube in Obese Patients Undergoing Intravenous Anesthesia for Gastroscopy: A Prospective and Randomized Study. Full Text available with Trip Pro

Comparison of Nasopharyngeal Airway Device and Nasal Oxygen Tube in Obese Patients Undergoing Intravenous Anesthesia for Gastroscopy: A Prospective and Randomized Study. Objective. This prospective and randomized study evaluated the efficacy and safety of the nasopharyngeal airway relative to the nasal oxygen tube in obese patients undergoing painless gastroscopy. Materials and Methods. Obese patients (BMI ≥ 28 kg/m(2); n = 260) were randomly and equally apportioned to the nasopharyngeal airway (...) (Group A) or nasal oxygen tube (Group B) group. Three patients were excluded due to failure of insertion of the nasopharyngeal airway. The duration of endoscopy, anesthetic dose, recovery time, and adverse events were recorded. The satisfaction of the anesthetist, physicians, and patient was scored. Results. The SpO2 reduction was significantly less in Group A than in Group B. Use of a respirator for assisted ventilation occurred significantly less in Group A. The groups were similar regarding mean

2016 Gastroenterology research and practice Controlled trial quality: uncertain

19. Iatrogenic intracranial placement of nasopharyngeal airway after trauma. (Abstract)

Iatrogenic intracranial placement of nasopharyngeal airway after trauma. CT images of an 18-year-old woman who had sustained head trauma after a motor vehicle accident are presented demonstrating the iatrogenic intracranial placement of a nasopharyngeal airway. Treatment required a decompressive craniectomy, removal of the nasopharyngeal airway under direct vision, and duraplasty. The patient made a good neurological recovery, but did require ongoing medical treatment for diabetes insipidus

2016 British Journal of Neurosurgery

20. Left molar approach using adult C-MAC videolaryngoscope for airway management of a child with nasopharyngeal carcinoma extending to hypopharynx Full Text available with Trip Pro

Left molar approach using adult C-MAC videolaryngoscope for airway management of a child with nasopharyngeal carcinoma extending to hypopharynx 27761051 2018 11 13 0019-5049 60 10 2016 Oct Indian journal of anaesthesia Indian J Anaesth Left molar approach using adult C-MAC videolaryngoscope for airway management of a child with nasopharyngeal carcinoma extending to hypopharynx. 786-787 Gupta Anju A Department of Anaesthesia, Chacha Nehru Bal Chikitsalya, New Delhi, India. Gupta Nishkarsh N

2016 Indian journal of anaesthesia

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