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Types and uses of low-risk airway management devices

Update:10 Oct 2024

Low-risk airway management devices play an important role in clinical practice, mainly used to keep the airway open, especially during emergency treatment and anesthesia. These devices usually do not directly contact the patient's lower respiratory tract, so the risk of infection is relatively low.

The following are some common low-risk airway management devices and their uses.
Oropharyngeal airway (OPA)
Use: The oropharyngeal airway is the most commonly used low-risk airway management device, mainly used to keep the airway open in patients who are conscious or comatose. It blocks the airway by preventing the tongue from falling back, and is suitable for patients who cannot keep the airway open on their own.
Features: OPA is available in a variety of sizes, and the appropriate model should be selected according to the patient's oral size and pharyngeal structure to ensure the best effect.
Nasopharyngeal airway (NPA)
Use: The nasopharyngeal airway is suitable for patients who cannot use the oropharyngeal airway, especially those with facial injuries. It is inserted through the nasal cavity and extends to the pharynx to help keep the airway open.
Features: NPA is more flexible than OPA, can reduce irritation to the pharynx, and is suitable for patients who are conscious or slightly comatose. Size also needs to be considered when choosing to avoid causing nasal damage.
Laryngeal mask airway (LMA)
Purpose: The laryngeal mask airway is a low-risk device used to replace endotracheal intubation and is suitable for anesthesia and emergency airway management. It seals the airway through the larynx, allowing gas to enter and exit, and is suitable for airway maintenance in short-term surgery or emergency situations.
Features: LMA is easy to place and reduces the complexity of endotracheal intubation, especially for patients without obvious airway anatomical abnormalities. The design of LMA can effectively prevent gastric contents from entering the airway.