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One Notable Complication of Nasopharyngeal Airway: A Case Report

INTRODUCTION: The nasopharyngeal airway (NPA) is used by emergency providers and first responders to assist with oxygenation in obtunded, critically ill patients. There are few recorded NPA complications. CASE REPORT: We describe a unique case in which a patient went multiple days with recurrent sym...

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Detalles Bibliográficos
Autores principales: Briggs, Blake, Countryman, Chase, McGinnis, Henderson D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676774/
https://www.ncbi.nlm.nih.gov/pubmed/33217278
http://dx.doi.org/10.5811/cpcem.2020.8.48811
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author Briggs, Blake
Countryman, Chase
McGinnis, Henderson D.
author_facet Briggs, Blake
Countryman, Chase
McGinnis, Henderson D.
author_sort Briggs, Blake
collection PubMed
description INTRODUCTION: The nasopharyngeal airway (NPA) is used by emergency providers and first responders to assist with oxygenation in obtunded, critically ill patients. There are few recorded NPA complications. CASE REPORT: We describe a unique case in which a patient went multiple days with recurrent symptoms of upper airway obstruction secondary to retained NPA. DISCUSSION: Nasopharyngeal airways may be uniquely prone to being displaced and retained due to their use in emergent situations, their small size, and time of insertion in the field prior to emergency department (ED) contact where handoff is not often standardized. CONCLUSION: The use of large-flanged NPAs might reduce incidences of displacement into the nasal cavity. This case highlights the need for improved handoff communication between emergency medical services and ED staff, especially to account for all inserted devices to prevent foreign body retention.
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spelling pubmed-76767742020-11-24 One Notable Complication of Nasopharyngeal Airway: A Case Report Briggs, Blake Countryman, Chase McGinnis, Henderson D. Clin Pract Cases Emerg Med Case Report INTRODUCTION: The nasopharyngeal airway (NPA) is used by emergency providers and first responders to assist with oxygenation in obtunded, critically ill patients. There are few recorded NPA complications. CASE REPORT: We describe a unique case in which a patient went multiple days with recurrent symptoms of upper airway obstruction secondary to retained NPA. DISCUSSION: Nasopharyngeal airways may be uniquely prone to being displaced and retained due to their use in emergent situations, their small size, and time of insertion in the field prior to emergency department (ED) contact where handoff is not often standardized. CONCLUSION: The use of large-flanged NPAs might reduce incidences of displacement into the nasal cavity. This case highlights the need for improved handoff communication between emergency medical services and ED staff, especially to account for all inserted devices to prevent foreign body retention. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020-10-20 /pmc/articles/PMC7676774/ /pubmed/33217278 http://dx.doi.org/10.5811/cpcem.2020.8.48811 Text en Copyright: © 2020 Briggs et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Case Report
Briggs, Blake
Countryman, Chase
McGinnis, Henderson D.
One Notable Complication of Nasopharyngeal Airway: A Case Report
title One Notable Complication of Nasopharyngeal Airway: A Case Report
title_full One Notable Complication of Nasopharyngeal Airway: A Case Report
title_fullStr One Notable Complication of Nasopharyngeal Airway: A Case Report
title_full_unstemmed One Notable Complication of Nasopharyngeal Airway: A Case Report
title_short One Notable Complication of Nasopharyngeal Airway: A Case Report
title_sort one notable complication of nasopharyngeal airway: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676774/
https://www.ncbi.nlm.nih.gov/pubmed/33217278
http://dx.doi.org/10.5811/cpcem.2020.8.48811
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