Final answer:
If resistance is encountered during NPA insertion, one must assess the cause, ensure correct sizing and insertion technique, use lubrication, and consult a senior medical professional if necessary. Forcing the NPA is not recommended due to the risk of trauma.
Step-by-step explanation:
Handling Resistance During NPA Insertion
When encountering resistance while inserting a Nasopharyngeal Airway (NPA), it is important to ensure the patient's safety and avoid injury to the nasal passages. First, assess the cause of the resistance. This could be the result of improper sizing of the NPA or incorrect insertion technique. If the size is appropriate, gently withdraw the NPA and attempt reinsertion, ensuring the bevel is facing the nasal septum and that you're following the natural curvature of the nasal passage. If resistance persists, stop the procedure and consult with a senior medical professional. It is crucial not to force the NPA as it may cause trauma to the nasal passages or other complications.
Correct sizing and lubrication of the NPA can help minimize resistance. Moreover, using alternative airway management strategies might be necessary if NPA insertion proves to be unsuccessful or contraindicated due to the patient's condition.