KING AIRWAY

Question 1

Therapeutic effects

Answer 1

To establish a patent and protected airway

Question 2

Indications

Answer 2

Any unresponsive patient without a gag reflex and not likely to regain consciousness.

Question 3

Contraindications 1

Answer 3

Patients with Intack gag reflex

Question 4

Contraindications 2

Answer 4

Patients with esophageal disease varices

Question 5

Contraindications 3

Answer 5

Patients who have ingested Caustic Substances (bleach, acid. etc)

Question 6

Side Effects 1

Answer 6

Stimulation of the gag reflex and vomiting

Question 7

Side Effects 2

Answer 7

Soft Tissue Trauma

Question 8

Procedure 1

Answer 8

Standard Precautions

Question 9

Procedure 2

Answer 9

Appropriate Size
Size 3: Yellow - 4’-5’ - (40 - 55 ml)
Size 4: Red - 5’-6’ - (50-70 ml)
Size 5; Purple - >6’ -(60-80 ml)

Question 10

Procedure 3

Answer 10

Open the airway check for fluids or obstructions, suction if needed.

Question 11

Procedure 4

Answer 11

Ventilate with 100% O2 and insert an OPA

Question 12

Procedure 5

Answer 12

Test cuff inflation system by injecting the max recommended volume of air into the cuff

Question 13

Procedure 6

Answer 13

Remove all air from the cuffs prior to insertion

Question 14

Procedure 7

Answer 14

Apply water based lubricant to the beveled distal tip and posterior aspect of the tube

Question 15

Procedure 8

Answer 15

Position the head and remove the OPA (sniffing position is ideal but can be done with the head in the neutral position)

Question 16

Procedure 9

Answer 16

Hold the device at the connector with the dominate hand. With non dominant hand hold mouth ope and apply the chin-tongue lift, unless contraindicated by c-spine precautions)

Question 17

Procedure 10

Answer 17

Hold device at 45-90 deg with blue orientation line touching the corner of mouth, introduce tip into mouth and advance behind base of the tongue

Question 18

Procedure 11

Answer 18

AS tip passes the base of tongue rotate the tube back to midline with the blue line facing the chin

Question 19

Procedure 12

Answer 19

Without exerting excessive force, advance the King until the proximal opening of the gastric acces lumen is aligned w/ teeth gum

Question 20

Procedure 13

Answer 20

Inflate cuff w/ necessary volume to seal airway

Question 21

Procedure 14

Answer 21

AUSCULTATION During ventilation confirm proper positioning by Auscultation of

• Confirm absence of epigastric sounds ad
• presents of lung sounds and chest rise

Question 22

Procedure 15

Answer 22

while ventilating the patient to assess placement you may need to simultaneously withdraw and adjust the airway until ventilation is easy and free flowing

Question 23

Procedure 16

Answer 23

Record the depth first then secure the device using a tube holder or tape without covering the proximal opening of the gastric lumen