What should be avoided when using a nasopharyngeal airway?

When using a nasopharyngeal airway, it is essential to avoid inserting it in patients with maxillofacial injuries. This is due to the risk of further damaging the nasal passages and surrounding structures. Patients with such injuries may have compromised anatomy or existing trauma that could be exacerbated by the insertion of a nasopharyngeal airway. In these cases, other methods of securing the airway, such as an oropharyngeal airway or advanced airway management techniques, may be more suitable and safer options.

This consideration is critical as managing the airway in patients with maxillofacial trauma requires an understanding of the potential complications that can arise from any invasive intervention in that area. Thus, it is vital to assess the patient's condition thoroughly and choose the most appropriate method of airway management to ensure safety and effectiveness.