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Metropolitan Ambulance Service Rural Ambulance Victoria Work Instruction Version 1 1/3/01 Insertion of Pharyngeal (OP) Airway EQUIPMENT: Number WI: 2.2.3 Pharyngeal Airway, Manikin STAGES KEY POINTS

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1. Clean and sanitize your hands: Before starting the procedure, it is essential to wash your hands thoroughly with soap and water. Alternatively, you can use hand sanitizer to ensure proper hygiene.
2. Gather necessary supplies: Collect all the required supplies for the procedure, including a well-lubricated oropharyngeal airway (also known as the guedel airway), gloves, and a suction device.
3. Position the patient: Place the patient in a supine position on their back. Make sure their head is slightly tilted back to facilitate easy insertion of the oropharyngeal airway.
4. Prepare the oropharyngeal airway: Lubricate the oropharyngeal airway with a water-soluble lubricant or use a pre-lubricated airway. This step ensures smooth insertion and reduces discomfort for the patient.
5. Insert the oropharyngeal airway: Hold the oropharyngeal airway with the curved part facing up. Gently insert it into the patient's mouth, aiming towards the back of the throat. As you insert, closely monitor the patient for any signs of discomfort or obstruction.
6. Advance the oropharyngeal airway: Once the oropharyngeal airway reaches the posterior pharyngeal wall, rotate it 180 degrees, so the curved part is facing downward. This maneuver helps guide the airway into the hypopharynx and prevents its displacement.
7. Confirm proper placement: Ensure that the oropharyngeal airway is in the correct position by observing a decrease in tongue obstruction and an improvement in respiration. You may also assess the patient's oxygen saturation levels to ensure adequate oxygenation.
8. Secure the oropharyngeal airway: If necessary, you can secure the oropharyngeal airway in place using gauze or adhesive tape. This step prevents accidental displacement during patient movement or transport.
9. Monitor and reassess: Continuously monitor the patient's airway, breathing, and oxygenation status after the insertion of the oropharyngeal airway. If any complications or signs of discomfort arise, promptly remove the airway and seek medical assistance.

Who needs number insertion of oropharyngeal:

1. Patients in an altered mental state: An oropharyngeal airway may be required for patients who are unconscious or have a decreased level of consciousness. It helps prevent the tongue from obstructing the airway and maintains a patent airway.
2. Emergency cases: In emergency situations, such as cardiac arrest or respiratory distress, the insertion of an oropharyngeal airway can rapidly establish a clear airway, allowing for adequate oxygenation and ventilation.
3. Anesthesia administration: During anesthesia induction, an oropharyngeal airway is commonly used to aid in maintaining airway patency, especially when the patient is under general anesthesia, which can relax the muscles responsible for airway control.
4. Trauma patients: Individuals with a suspected or known traumatic injury to the head, face, or neck may require an oropharyngeal airway to ensure proper airway management and prevent further complications.
5. Obstructive sleep apnea patients: Some patients with obstructive sleep apnea may benefit from the use of an oropharyngeal airway to help keep the upper airway open during sleep, thus improving breathing and reducing the frequency of apnea episodes.

Note: The insertion of an oropharyngeal airway should only be performed by trained healthcare professionals who are familiar with the procedure and adhere to proper techniques and safety guidelines.

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What is number insertion of oropharyngeal?

Number insertion of oropharyngeal is a procedure where a tube is inserted through the mouth and into the throat for various medical purposes.

Who is required to file number insertion of oropharyngeal?

Medical professionals such as doctors, nurses, or paramedics are required to perform and document number insertion of oropharyngeal when necessary.

How to fill out number insertion of oropharyngeal?

Number insertion of oropharyngeal should be filled out by recording the date, time, size of the tube inserted, reason for insertion, and any relevant observations.

What is the purpose of number insertion of oropharyngeal?

The purpose of number insertion of oropharyngeal is to secure the airway, assist with breathing, or facilitate the administration of medications or fluids.

What information must be reported on number insertion of oropharyngeal?

Information such as patient's name, medical record number, healthcare provider's name, and details of the procedure must be reported on number insertion of oropharyngeal.

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