OPA

Question 1

OPA - indications

Answer 1

Bite block for intubation

Support airway patency in unconscious pt

Question 2

OPA - contraindications

Answer 2

Gag reflex

Trismus

TBI/nTBI with adequate ventilation/oxygenation - may increase ICP

Question 3

OPA - measure

Answer 3

Phalange from middle incisor to angle of jaw

Question 4

OPA - insertion

Answer 4

Insert upside down to avoid pushing tongue back and rotate 180° and continue insertion - if gag immediately pull out

Question 5

OPA - paed insertion

Answer 5

Do not insert upside down/rotate - softer palates may cause injury