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Therapeutic Effects | Indications | Contraindications | Side Effects | The student will demonstrate the use of the equipment/ procedure | Primary Method(s): For Adults | Alternate Method: Preferred in Pediatrics (demonstrated on adult airway head) | After Insertion:
Therapeutic Effects
Improves airway patency.
Indications
Any unresponsive patient without a gag reflex.
Contraindications
Patients with an intact gag reflex
Trismus (lockjaw)
Side Effects
Obstruction of the airway (usually from improper sizing)
Soft tissue or dental damage
Retching or vomiting caused by an intact gag reflex
The student will demonstrate the use of the equipment/procedure
Take and verbalize standard precautions
Maintain manual C-spine stabilization if C-spine injury is suspected
Primary Method (s): For Adults
Open the patient's mouth and look for foreign bodies and fluids, clear and properly suction if needed.
Properly ventilate twice (consecutively) with a BVM to ensure a patent airway with chest rise
Select an OPA: Measure from the corner of the mouth to the earlobe OR corner of the mouth to the angle of the jaw to ensure proper sizing. (Student will measure OPA during testing)
Using the cross-finger technique, open the patient’s mouth for insertion.
A) Insert tip toward the roof of the mouth and rotate 180 degrees when the tip reaches the soft palate.
B) Or, insert in the corner of the mouth and rotate 90 degrees as its advanced into place.
The flange should rest against the patient’s teeth or gums, with the other end opening into the pharynx.
If at any time the patient begins to gag, remove the device immediately.
Alternate Method: Preferred in Pediatrics
Insert a tongue depressor/bite-stick into the mouth until the tip is at the base of the tongue.
Press the tongue towards the mandible and forward.
Insert the adjunct in it’s normal anatomical position, with the flange resting against the teeth or gums.
If at any time the patient begins to gag, remove the device immediately.
After Insertion:
Ventilate and assess the airway patency, looking for: (student will ventilate at least once)
Improvement in chest rise and bag compliance.
Improvement in pulse oximetry.
Improvement in skin color, temperature, and condition.