Nasopharyngeal Airway As A Supraglottic Ventilation Device For Bronchoscopic Interventions


Vol 5 | Issue 3 | Sep-Dec 2019 | page: 10-12  | Astha Agrawal Kanaparthi , Vikas Nair , Pramod Kale , Arvind Kate

Authors: Astha Agrawal Kanaparthi [1] , Vikas Nair [1] , Pramod Kale [1] , Arvind Kate [2]

Address of Correspondence
1Department of Anesthesiology, Zen Multi Specialty Hospital, Chembur, Mumbai, India.
2Department of TB & Respiratory Medicine, Zen Multi Specialty Hospital, Chembur, Mumbai, India.

Dr. Astha Agrawal Kanaparthi
Zen Multi Specialty Hospital, Chembur, Mumbai, India

Introduction: Bronchoscopy is performed for diagnostic and therapeutic purposes. It is a challenge for the anaesthesiologist to maintain ventilation for the patient as the patients’ airway is shared between the anaesthetist and the bronchoscopist. Many modalities have been used for anaesthesia and airway management for bronchoscopies. We present a case of bronchoscopy guided foreign body removal under anaesthesia. Spontaneous ventilation was maintained in the patient with the help of nasal airways.
Keywords: Bronchoscopy, Ventilation, Nasal airway.


1. Nasopharyngeal Airway versus Laryngeal Mask Airway During Diagnostic Flexible Fiber-Optic Bronchoscope in Children. Aktham Adel Shoukry*, Amr Gaber Sayed Sharaf. Bentham open.
2. Niggemann B, Haack M, Machotta A. How to enter the pediatric airway for bronchoscopy. Pediatr Int 2004; 46(2): 117-21.
3. Y. Bajaj, C. Gadepalli, and L. C. Knight, “Securing a nasopharyngeal airway,” Journal of Laryngology and Otology, vol. 122, no. 7, pp. 733–734, 2008.
4. A. R. Kumar, C. Guilleminault, V. Certal, D. Li, R. Capasso, and M. Camacho, “Nasopharyngeal airway stenting devices for obstructive sleep apnoea: a systematic review and meta-analysis,” Journal of Laryngology and Otology, vol. 129, pp. 2–10, 2015.
5. Du Rand IA, Blaikley J, Booton R, Chaudhuri N, Gupta V, Khalid S, Mandal S, Martin J, Mills J, Navani N, Rahman NM, Wrightson JM, Munavvar M; British Thoracic Society Bronchoscopy Guideline Group: Summary of the British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults. Thorax 2013; 68:786-787.
6. The Safety of Laryngeal Mask Airway-Assisted Bronchoscopy versus Standard Nasal Bronchoscopy. Alon D.a, c · Pertzov B.b, c · Gershman E.b, c · Frishman M.a, c · Rahman N.A.b, c · Rosengarten D.b, c· Kramer M.R.b, c
7. Yserbyt J, De Maeyer N, Dooms C, Testelmans D, Muylle I, Bruyneel M, Ninane V: The feasibility of tracheal oxygen supplementation during flexible bronchoscopy. Respiration 2016; 92:48-52.
8. Gonzalez R, De-La-Rosa-Ramirez I, Maldonado-Hernandez A, et al. Should patients undergoing a bronchoscopy be sedated? Acta Anaesthesiologica Scand 2003; 47: 411–415.
9. Esther Vila, Anna Mases, Enrique Vela, Luis Molto, Albert Sanchez-Font, Víctor Curull and Lluís Gallart, Sedation with Propofol and remifentanil for real-time endobronchial ultrasound needle aspiration, Colombian Journal of Anesthesiology, 41, 2, (120), (2013).
10. Qiansong Xiao, Yingying Yang, Yinbin Zhou, Yan Guo, Xing Ao, Ran Han, Jiali Hu, Dongfeng Chen, and Chunhui Lan . Comparison of Nasopharyngeal Airway Device and Nasal Oxygen Tube in Obese Patients Undergoing Intravenous Anesthesia for Gastroscopy: A Prospective and Randomized Study. Gastroenterology Research and Practice Volume 2016, Article ID 2641257, 6 pages
11. T. Cavusoglu, I. Yazici, Y. Demirtas, B. Gunaydin, and R. Yavuzer, “A rare complication of nasotracheal intubation: accidental middle turbinectomy,” Journal of Craniofacial Surgery, vol. 20, no. 2, pp. 566–568, 2009.
12. Chadha M, Kulshrestha M, Biyani A. Anaesthesia for bronchoscopy. Indian J Anaesthesia 2015;59:565-73
13. Yarmus LB, Akulian JA, Gilbert C, et al. Comparison of moderate versus deep sedation for endobronchial ultrasound transbronchial needle aspiration. Ann Am Thorac Soc 2013; 10(2): 121-6.[] [PMID: 23607840]
14. K Roberts1, H Whalley2, A Bleetman3. The nasopharyngeal airway: dispelling myths and establishing the facts. Emergency Medicine Journal. Volume 22, Issue 6.
15. Lida Fadaizadeh, Mahsa Sadat Hoseini, Mohammad Bagheri. Anaesthesia Management during Interventional Bronchoscopic Procedures: Laryngeal Mask Airway or Rigid Bronchoscope. Turk J Anaesth Reanim 2014; 42: 302-7
16. Grendelmeier P, Tamm M, Pflimlin E, Stolz D. Propofol sedation for flexible bronchoscopy: A randomised, noninferiority trial. Eur Respir J 2014; 43(2): 591-601.
17. Schade K, Borzotta A, Michaels A. Intracranial malposition of nasopharyngeal airway. J Trauma2000;49 (5) :967–8.
18. Chung CH, Sum CW, Li HL, et al. Comparison of nasal trauma associated with nasopharyngeal airway applied by nurses and experienced anesthesiologists. Changgeng Yi Xue Za Zhi1999;22 (4) :593–7.

How to Cite this Article: Kanaparthi A, Nair V, Kale P, Kate A | Nasopharyngeal Airway As A Supraglottic Ventilation Device For Bronchoscopic Interventions | Journal of Anaesthesia and Critical Care Case Reports | Sep – Dec 2019; 5(3): 10-12.


(Abstract) (Full Text HTML)      (Download PDF)


Tags: , ,