Question

Which of the following is a disadvantage of oropharyngeal airways (OPAs)?

A. They cannot be used in patients with a suspected skull fracture.
B. They require the use of a water-soluble lubricant.
C. They do not come in pediatric sizes.
D.They cannot be used in a patient with a gag reflex.

Answer 1

OPAs cannot be used in patients with an active gag reflex, presenting a significant disadvantage. Pediatric sizes are available, and using a lubricant is standard practice, not a disadvantage.

Step-by-step explanation:

Among the disadvantages of oropharyngeal airways (OPAs), one important drawback is that they cannot be used in a patient with a gag reflex. This is because the presence of an OPA can stimulate the gag reflex, which could lead to vomiting, aspiration, or injury in a semi-conscious or unconscious patient. It is also pertinent to note that pediatric sizes of OPAs are available, and while use of a water-soluble lubricant is advised for comfort and ease of insertion, this is not a disadvantage but a standard practice. Additionally, there is no direct contraindication for using OPAs in patients with suspected skull fractures, although careful assessment and monitoring is key in such scenarios.