Page 687 - ACCCN's Critical Care Nursing

664 S P E C I A LT Y P R A C T I C E I N C R I T I C A L C A R E

Practice considerations Incorrect size or placement may contribute to airway obstruction by pushing the tongue back into the pharynx. Unlike adult insertion, the insertion of the oropharyngeal airway in infants and young children is inserted right-way-up; a tongue depressor or laryngoscope should be used to aid insertion. 40 Use with caution in patients with head injuries. With the exception of infant’s head-tilt, jaw support or jaw thrust is still necessary when

Adjuncts used during resuscitation Description Conforms to the curve of the palate, moving the tongue forwards away from the posterior pharyngeal wall. 40 Sizes from 000–5. Soft tube inserted into the nasopharynx. A self-inflating bag that may be connected to a face mask, LMA or ETT. The LMA consists of a tube with an elliptical cuff fitted at the distal end that inflates in the hypopharynx around the posterior perimeter of the larynx. The LMA is inserted orall

TABLE 24.6 Airway type Oropharyngeal (Guedel’s) airway Nasopharyngeal airway Bag–valve–mask (BVM) systems Laryngeal mask airway (LMA) Oesophageal– tracheal Combitube (ETC) Laryngeal tube (LT) I-gel Endotracheal tube (ETT)