What is a nasal trumpet?

A nasopharyngeal airway (NPA), also called a nasal trumpet, is a tube inserted into the nasal passageway to bypass the nasopharyngeal obstruction. NPA is used for treatment of OSAS in some adults with moderate-to-severe OSAS.

How long can a nasal trumpet stay in?

Nasal trumpets remained in place for an average of 7.3 days and patients had an average hospital stay of 7.4 days.

Is a nasal trumpet an airway?

Nasopharyngeal airway (NPA) or nasal trumpet is a soft rubber or plastic tube that is inserted into the nasal cavity that acts as a temporary airway.

Why would you use a nasopharyngeal airway?

A nasopharyngeal airway (NPA) is a thin, clear, flexible tube that is inserted into a patient's nostril. The purpose of the NPA is to bypass upper airway obstruction at the level of the nose, nasopharynx or base of the tongue. It also prevents the tongue falling backward on the pharyngeal wall to prevent obstruction.

When do you use a nasal trumpet?

A nasopharyngeal airway (NPA), also called a nasal trumpet, is a tube inserted into the nasal passageway to bypass the nasopharyngeal obstruction. NPA is used for treatment of OSAS in some adults with moderate-to-severe OSAS.

Nasopharyngeal Airways / Nasal Trumpet

How often should a nasal trumpet be changed?

Timing of NPT Changes

After this period it should be routinely changed every 5-7 days, with alternating nostrils utilised. If the NPT is required over long-term, size and length may need adjusting according to patient's growth.

What is a disadvantage of a nasopharyngeal airway?


The risk of regurgitation may be higher with a nasopharyngeal airway. This raises the risk of aspiration, which is a risk of all artificial airways. A nasopharyngeal airway may also trigger a nosebleed, further elevating the risk of aspiration, but careful monitoring of the patient can reduce this risk.

What patients can use a nasopharyngeal airways?

Nasopharyngeal airways are also used to keep the airway open and can be used with patients who are conscious or semi-conscious. For example, semi-conscious patients may need an NPA because they are at risk for airway obstruction but cannot have an OPA placed due to an intact gag reflex.

When might a patient require nasopharyngeal suction?

Nasopharyngeal suction is indicated when there is evidence of retained secretions but the child is not able to clear the secretions independently and secretions are too low down in the airway for oral suction. This must be obtained prior to this procedure being carried out.

Can a nurse insert a nasal trumpet?

1.1 To safely and effectively use a Nasopharygeal Airway (NPA). 2.1 The Registered Nurse (RN), Registered Psychiatric Nurse (RPN), Graduate Nurse (GN), Graduate Psychiatric Nurse (GPN) will insert, maintain, remove and suction a nasopharyngeal airway (NPA).

Can nurses place nasal trumpets?

NO..... unless you are covered by hospital policy to utilize these devices the answer is ....you may NOT utilize these devices. Nurses can be "trained" or "certified" to prove competence to be able to utilize these devices and can be covered by hospital policy to perform these tasks.

How do you fix a nasal airway?

Place one or two fingertips on your cheeks on either side of your nose. Gently, press and pull outward. This temporarily opens the nasal valve. If doing this helps you inhale more easily through your nose, your nasal obstruction may be in your nasal valve, and you may be a candidate for Nasal Airway Remodeling.

What is the potential complication of using a nasopharyngeal airway that is too long?

Nasopharyngeal Warnings

Care should be taken when inserting an NPA to avoid complications. The airway can irritate the mucosa or lacerate adenoidal tissue and cause bleeding, with possible aspiration of clots into the trachea. An improperly sized nasopharyngeal airway could accidentally enter the esophagus.

Can a nurse insert an oral airway?

2.1 The Registered Nurse (RN), Registered Psychiatric Nurse (RPN), Licensed Practical Nurse (LPN), Graduate Nurse (GN), Graduate Psychiatric Nurse (GPN), Graduate Licensed Practical Nurse (GLPN) will insert, maintain, suction and remove an oropharyngeal airway (OPA).

What is the first thing you should do before inserting a nasopharyngeal airway?

Measure the length of the airway to ensure it does not cause obstruction. Open the nares to reveal the nasal passage. Inspect both nares to determine which side is wider. Lubricate the nasopharyngeal airway with water-soluble lubricant or anesthetic jelly such as lidocaine gel.

Can you suction through a nasopharyngeal airway?

Suctioning via the oropharyngeal (mouth) and nasopharyngeal (nasal) routes is performed to remove accumulated saliva, pulmonary secretions, blood, vomitus, and other foreign material from these areas that cannot be removed by the patient's spontaneous cough or other less invasive procedures.

Is nasal intubation painful?

Both nasal and oral route for intubation have advantages and disadvantages. Oral intubation is easier to perform, faster and less painful than nasal intubation under direct laryngoscopy, while blind nasal intubation represents a good alternative in conscious patient, without sedation.

Does playing trumpet change your lips?

Playing the trumpet can cause damage to musicians' lips. To avoid damage, it is essential to stay hydrated, moisturize the lips, practice often, and make changes to how you play if you notice discomfort. The trumpet can produce beautiful sounds, but it shouldn't be painful.

How do I place an NPA?

How to insert an NPA
  1. Lubricate the nasopharyngeal airway with water-soluble jelly.
  2. Insert into the nostril (preferably right) vertically along the floor of the nose with a slight twisting action. Aim towards the back of the opposite eyeball.
  3. Confirm airway patency.

What are the indications for nasal intubation?

1–3 It is indicated in patients who are unable to lie supine due to respiratory distress from severe asthma, chronic obstructive pulmonary disease (COPD), or congestive heart failure. It is also indicated in patients who are unable to open their mouths due to facial trauma, mandibular trauma, or trismus.

How do you use a nose sniffer?

Steps for using a pump bottle
  1. Gently blow your nose to clear it of mucus before using the medicine.
  2. Remove the cap. ...
  3. Tilt your head forward slightly. ...
  4. Hold the pump bottle with your thumb at the bottom and your index and middle fingers on top. ...
  5. Squeeze the pump as you begin to breathe in slowly through your nose.

Do nasal passages narrow with age?

You may experience narrow nasal passages for many reasons. It may be due to genetics, aging, or injury. More specific underlying health conditions could also be the cause.

What are doctors pulling out of people's noses?

Polypectomy removes polyps in the nasal cavity. Polyps are noncancerous swellings in the nose that can block airflow. Septoplasty corrects a deviated nasal septum or other septal deformity that can obstruct airflow through the nose and cause difficulty breathing.