Oropharyngeal Airway Insertion

Question 1

What is the indication for insertion of an OPA?

Answer 1

1. Unconscious pt where there is a need to actively maintain the airway by displacing the tongue anteriorly
2. Bite block to support ETT placement.

Question 2

What are the 3 contraindications for OPA insertion?

Answer 2

1. Trismus
2. Present gag reflex
3. Any pt suspected of having neurological injury (gag response)

Question 3

What are the 3 clinical precautions to OPA insertion?

Answer 3

1. Ensure correct measurement to avoid damaging soft posterior structures
2. A modified technique is used for paediatrics to avoid palate trauma
3. An OPA does not protect against aspiration

Question 4

How is an OPA measured?

Answer 4

From angle of jaw to the middle of the incisor.

Question 5

For paediatric patients, is the tip of the OPA pointing up toward the roof of the mouth or down toward the tongue on insertion?

Answer 5

Down, toward tongue.