vagal response with NPA?

[zzyzx]

Has anyone ever seen a patient get a vagal response when an NPA was placed?

[AZCEP]

Not with an NPA, but with a nasal intubation. I wasn't really looking for it either though.

[hammerpcp]

Has anyone ever seen a patient get a vagal response when an NPA was placed?

Nope. I have had a gag and an epistaxis though. I guess it is possible to induce a vagal response but when I am down to inserting airway adjuncts I am not really looking for that, as AZCEP said. Usually their vitals are already crapola.

Why do you ask? Have you?

[zzyzx]

No, I haven't see it myself, just heard somebody say they did. He said that a patient of his, in whom he'd placed in NPA sometime earlier, started bradying down after they arrived at the ER. He pulled the NPA and immediately the patient's HR came back up. (I had never heard of this before and I seriously doubt that the bradycardia was due to the NPA.)

[ALERT Medic]

No, I haven't see it myself, just heard somebody say they did. He said that a patient of his, in whom he'd placed in NPA sometime earlier, started bradying down after they arrived at the ER. He pulled the NPA and immediately the patient's HR came back up. (I had never heard of this before and I seriously doubt that the bradycardia was due to the NPA.)

Never heard of that one before.

[croaker260]

You can vagal from any pain response, or from increased ICP from noxious stiluli can decrease HR as well.

[Ridryder 911]

I doubt that any vagal response is from the NPA. Usually, the "gag" reflex is only temporary and transient. This would be describing same or similar incidence with NG tubes that are continuously left in place.. the body will adapt.

R/r 911