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{
    "pk": 949,
    "title": "One Notable Complication of Nasopharyngeal Airway: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n The nasopharyngeal airway (NPA) is used by emergency providers and first responders to assist with oxygenation in obtunded, critically ill patients. There are few recorded NPA complications.\nCase Report:\n We describe a unique case in which a patient went multiple days with recurrent symptoms of upper airway obstruction secondary to retained NPA. Discussion: Nasopharyngeal airways may be uniquely prone to being displaced and retained due to their use in emergent situations, their small size, and time of insertion in the field prior to emergency department (ED) contact where handoff is not often standardized.\nConclusion:\n The use of large-flanged NPAs might reduce incidences of displacement into the nasal cavity. This case highlights the need for improved handoff communication between emergency medical services and ED staff, especially to account for all inserted devices to prevent foreign body retention.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Nasopharyngeal airway"
        },
        {
            "word": "nasal foreign body"
        },
        {
            "word": "EMS, emergency department communication"
        },
        {
            "word": "retained foreign bodies"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1f7276hw",
    "frozenauthors": [
        {
            "first_name": "Blake",
            "middle_name": "",
            "last_name": "Briggs",
            "name_suffix": "",
            "institution": "University of South Alabama, Department of Emergency Medicine, Mobile, Alabama",
            "department": "None"
        },
        {
            "first_name": "Chase",
            "middle_name": "",
            "last_name": "Countryman",
            "name_suffix": "",
            "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina",
            "department": "None"
        },
        {
            "first_name": "Henderson",
            "middle_name": "D.",
            "last_name": "McGinnis",
            "name_suffix": "",
            "institution": "Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina",
            "department": "None"
        }
    ],
    "date_submitted": "2020-10-21T07:02:04+08:00",
    "date_accepted": "2020-10-21T07:02:04+08:00",
    "date_published": "2020-10-21T07:02:42+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/949/galley/697/download/"
        }
    ]
}