An oropharyngeal airway (also known as an oral airway, OPA or Guedel pattern airway) is a medical device called an airway adjunct used to maintain an open airway.
What is a Guedel (oropharyngeal) airway?
A Guedel is a rigid plastic tube which sits along top of mouth and ends at base of tongue (an adjunct to help keep airway open)
An oxygen mask or bag mask ventilation can be applied over the top if needed
Use: Prevents tongue covering epiglottis in patients with reduced GCS
How to insert a Guedel airway?
Ensure no foreign bodies in the mouth
Lubricate the oropharyngeal airway
Insert into the mouth upside down (reduces risk of pushing tongue back)
Once tip is around hard-soft palate junction, rotate 180˚ and advance the rest of the way
If the patient gags it is unlikely they will tolerate this airway. Stop insertion and try a nasopharyngeal airway instead.
Confirm airway patency
Correct measurement is very important, as the flared ends of the airway must rest securely against the oral opening in order to remain secure. An alternative method for insertion, the method that is recommended for OPA use in children and infants, involves holding the tongue forward with a tongue depressor and inserting the airway right side up.
1)For single use only. Discard after use.
2)Sterilized by EO. Do not re-sterilize or reuse.
3)Do not use if the package open or damaged.
4)Do not store at extreme temperature or humidity. Store in cool and dry place.