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Emerg Med J 23:661 doi:10.1136/emj.2006.036541
  • Letter

Intracranial placement of nasopharyngeal airways: is it all that rare?

  1. D Y Ellis,
  2. C Lambert,
  3. P Shirley
  1. Intensive Care Department, Royal London Hospital, London, UK
  1. Correspondence to:
 D Y Ellis
 Intensive Care Department, Royal London Hospital, London, UK; danellis{at}doctors.org.uk

    In their recent review on nasopharyngeal airways (NPA), Roberts et al1 mention that the “evidence for avoiding NPAs in case of basal skull fracture is based solely on two case reports”.2,3

    This may be true, but how many instances of intracerebral NPA placement occur but are not published? Once a complication has occurred and been reported in a journal, further similar case reports are less likely to be submitted because it is no …