Which airway device should be inserted to facilitate nasotracheal suctioning in a child with copious secretions?

The choice of a nasopharyngeal airway is appropriate for facilitating nasotracheal suctioning in a child with copious secretions because this device effectively maintains an open airway while allowing for suctioning. This type of airway is designed to be inserted into the nasopharynx, which helps bypass any obstruction or excessive secretions that may interfere with breathing or suctioning efforts.

By providing a passage, the nasopharyngeal airway allows for easier access to the trachea when suctioning is necessary, particularly in patients who have high output of secretions. Additionally, it can help prevent trauma to the nasal passages during suctioning, making it a safer choice for pediatric patients.

In contrast, other devices, while useful in different contexts, do not serve this specific function as effectively. A nasotracheal airway can directly connect to the trachea but may not facilitate suctioning with the same level of ease. A Coude catheter is typically used for navigating strictures in the urethra rather than for airway management. A Replogle tube is primarily used for decompression of the gastrointestinal tract, not for airway management or suctioning purposes. Thus, the nasopharyngeal airway stands out as the most fitting