Secondly, using proper supraglottic airways adjuncts may aid in the resuscitation of a patient if used correctly. There are three adjuncts that may be used to help maintain a patient’s airway; the OPA, NPA and King LT. “The OPA are for patient’s that are unconscious and without a gag reflex. If a gag reflex is present, you’ll have to remove the OPA. The NPA is used in conjunction with an OPA, or separately if a gag reflex is present with the OPA. NPA’s are also used if OPA’s aren’t maintaining the patient’s airway adequately, 1 or 2 NPA’s may be inserted, unless a injury above the clavicle has occurred, insertion of an NPA may then cause a basal skull fracture. If you meet resistance when inserting an NPA, stop and remove it, you don’t want