Short Answer 
The procedure for inserting a nasopharyngeal airway involves measuring the correct size, positioning the patient with a neutral head, and inserting the lubricated airway with the bevel facing the septum. It is crucial to ensure the airway is properly sized and to monitor for any signs of discomfort during the process.
Step 1: Measure the Proper Size
Before inserting a nasopharyngeal airway, it is vital to determine the correct size to prevent complications. Measure the airway by comparing it to the distance between the tip of the patient’s nose and the angle of the jaw. This ensures the airway is adequately long to maintain an open passage while avoiding potential injuries.
- Compare to tip of nose and angle of jaw.
- Avoid using an airway that is too short or too long.
- Ensure the correct measurement prevents complications.
Step 2: Position the Patient and Prepare for Insertion
Place the patient’s head in a neutral position before starting the procedure. This position optimizes the airway’s alignment, making it easier to insert. Prepare the nasopharyngeal airway by lubricating it to facilitate a smoother insertion into the nostril.
- Ensure a neutral head position.
- Lubricate the airway before insertion.
- Monitor for signs of discomfort during insertion.
Step 3: Insert the Airway Safely
Insert the lubricated airway into one nostril, with the bevel facing the septum, and advance it gently along the floor of the nasal passage. Ensure that the airway flange rests against the nostril. Be prepared to remove the airway if the patient exhibits any signs of discomfort, like gagging or coughing, and have suctioning equipment available for clearing any secretions.
- Insert with bevel facing the septum.
- Advance until the flange rests against the nostril.
- Be ready to remove if signs of distress arise.