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Guedel and Nasopharyngeal Airways are utilized for management of oropharyngeal and nasopharyngeal airway and preventing airway obstruction. Nasopharyngeal and Oropharyngeal airway maintenance is important in conditions where there is possibility of airway obstruction such as when a patient is unconscious.
Guedel Airway
Guedel airway prevents airway obstruction by preventing tongue from covering the epiglottis. Geudel Airway is colour coded to help identify the size. Oropharyngeal airway can trigger gag reflex hence is used on unconscious patients.
Guedel Airway consists of three parts
- Flange – present at buccal end and fixes airway in place
- Bite portion – Straight portion that fits between teeth and gums
- Curved portion – extends backwards with the shape of tongue and the palate
Nasopharyngeal Airway
A Nasopharyngeal airway provides a primary advantage over guedel airway as it doesn’t initiate gag reflex. It is indicated when there is a potential or an actual airway obstruction. The nasopharyngeal airway extends from nose to pharynx with the pharyngeal end below the base of the tongue and above the epiglottis. The flare end of the airway tube ensures that the nasopharyngeal airway does not slide out of place and get lost in the patient’s nose. Traumatic brain injury or central facial fracture, basilar skull or cribiform fractures, anticoagulant therapy, coagulopathic disorders, and transphenoidal surgery are some contraindications.
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