{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T14:10:48Z","timestamp":1765807848946},"reference-count":5,"publisher":"California Digital Library (CDL)","issue":"4","license":[{"start":{"date-parts":[[2020,10,20]],"date-time":"2020-10-20T00:00:00Z","timestamp":1603152000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: 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. \n\nCase Report: We describe a unique case in which a patient went multiple days with recurrent symptoms of upper airway obstruction secondary to retained NPA. \nDiscussion: 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. \n\nConclusion: 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.<\/jats:p>","DOI":"10.5811\/cpcem.2020.8.48811","type":"journal-article","created":{"date-parts":[[2020,11,17]],"date-time":"2020-11-17T18:32:00Z","timestamp":1605637920000},"page":"584-586","source":"Crossref","is-referenced-by-count":4,"title":["One Notable Complication of Nasopharyngeal Airway: A Case Report"],"prefix":"10.5811","volume":"4","author":[{"given":"Blake","family":"Briggs","sequence":"first","affiliation":[{"name":"University of South Alabama, Department of Emergency Medicine, Mobile, Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chase","family":"Countryman","sequence":"additional","affiliation":[{"name":"Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henderson","family":"McGinnis","sequence":"additional","affiliation":[{"name":"Wake Forest School of Medicine, Department of Emergency Medicine, Winston-Salem, North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2020,10,20]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Roberts K, Whalley H, Bleetman A. The nasopharyngeal airway: dispelling myths and establishing the facts. Emerg Med J. 2005;22(6):394-6.","DOI":"10.1136\/emj.2004.021402"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Ellis DY, Lambert C, Shirley P. Intracranial placement of nasopharyngeal airways: Is it all that rare? Emerg Med J. 2006;23(8):661.","DOI":"10.1136\/emj.2006.036541"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Zwank M. Middle turbinectomy as a complication of nasopharyngeal airway placement. Am J Emerg Med. 2009;27(4):513.e3-513004.","DOI":"10.1016\/j.ajem.2008.09.038"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Kim BJ, Shoffel-Havakuk H, Johns MM. Retained nasal trumpet for 20 months:\u00a0an unusual foreign body.\u00a0JAMA Otolaryngol Head Neck Surg.\u00a02019;145(1):93\u20134.","DOI":"10.1001\/jamaoto.2018.2939"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Al-Qurayshi ZH, Hauch AT, Slakey DP, et al. Retained foreign bodies: risk and outcomes at the national level.\u00a0J Am Coll Surg. 2015;220(4):749-59.","DOI":"10.1016\/j.jamcollsurg.2014.12.015"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T20:31:58Z","timestamp":1605817918000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/1f7276hw"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,20]]},"references-count":5,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,11,10]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.8.48811","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2020,10,20]]}}}