King Airway

Question 1

Indication

Answer 1

When an airway device is required for a failed intubation attempt

Question 2

Contraindications 1

Answer 2

Patients with an intact gag reflex

Question 3

Contraindications 2

Answer 3

Patients with esophageal disease or varices

Question 4

Contraindications 3

Answer 4

Patients who have ingested a caustic substanse (bleach acid)

Question 5

Procedure 1

Answer 5

Standard precautions

Question 6

Procedure 2

Answer 6

Place the patient supine

Question 7

Procedure 3

Answer 7

Open the patients mouth and check for potential airway obstructions to include removing dentures

Question 8

Procedure 4

Answer 8

Use Manual and adjunctive airway maneuvers to open patients airway and ventilate with 100% O2

Question 9

Procedure 5

Answer 9

Pre-oxygenate the patient with a BVM and assess ventilations for chest rise and fall and positive lung sounds

Question 10

Procedure 6

Answer 10

Select the appropriate size tube:
size 3 - 4-5’
size 4 5-6’
size 5 6

Question 11

Procedure 7

Answer 11

test cuff inflation prior to insertion by injecting the maximum amount of recommended air into cuff

Question 12

Procedure 8

Answer 12

Remove air from cuff prior to insertion

Question 13

Procedure 9

Answer 13

Lubricate the bevel distal tip and posterior aspect of the device with water soluble lubricant

Question 14

Procedure 10

Answer 14

Place the patients head in(sniffing position) prior to insertion, can also be inserted in a neutral position

Question 15

Procedure 11

Answer 15

Hold the device with the dominate hand with other hand open patients mouth with chin lift, unless contraindicated by C-spine

Question 16

Procedure 12

Answer 16

Holding the device at 45-90 with blue orientation line at the corner of the mouth advance towards the base of the tongue

Question 17

Procedure 13

Answer 17

It is important that the tip of the device is maintained at midline. If the tip is placed laterally it could enter the piriform fossa

Question 18

Procedure 14

Answer 18

As the tube passes the base of the tongue rotate the tube back to midline with the blue orientation line facing the chin

Question 19

Procedure 15

Answer 19

Without exerting too much force advance the KING LTS_D until the proximal opening of the gastric access lumen is in line with teeth or gums

Question 20

Procedure 16

Answer 20

Inflate cuff with the minimum specific amount of air required with supply syringe

Question 21

Procedure 17

Answer 21

While ventilating the patient to assess placement the cuff may need to be simultaneously withdrawn until the ventilations are easy and free flowing

Question 22

Procedure 18

Answer 22

Ventilator openings must align with the laryngeal inlet. Insertion depth should be adjusted to maximize ventilation

Question 23

Procedure 19

Answer 23

Confirm proper position by auscultating of absence of epigastric sounds and positive lung sounds

Question 24

Procedure 20

Answer 24

Appropriately Secure the device with tube holder or tape without covering the proximal opening of the gastric access lumen