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What is a Guedel (oropharyngeal) airway?
A Guedel is a rigid plastic tube which sits along top of the mouth and ends at the base of the 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
Size: Use one that matches the distance between the corner of the patient’s mouth and angle of their jaw
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