Review the indications, contraindications, sizing, and insertion of the nasopharyngeal airway (NPA) to maintain the airway of patients with a gag reflex.

The tongue is the most common airway obstruction in an unconscious patient.

When the nasopharyngeal airway (NPA) should be used as an alternative to the oropharyngeal airway (OPA).

Examples of when a NPA should be considered.

Contraindications and considerations for nasal airway insertion.

Measuring a nasal airway for appropriate length and diameter.

Insertion of a nasopharyngeal airway into the right vs left nostril.

Patients with a NPA in place can receive supplemental O2, be ventilated with a BVM, have ETCO2 monitored, and have their upper airway suctioned as needed.

Good luck with your ACLS class!

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