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King LT-D Airway

King LT-D Airway. It is a supraglottic device Also known as a blind insertion Airway Device (BIAD) Proximal cuff blocks oropharynx Distal cuff blocks esophagus. Five Sizes. Revised 11/12 Loudoun County EMS Council, Inc. Other Accessories. Proper BSI BVM Oral airway Tape

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King LT-D Airway

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  1. King LT-D Airway • It is a supraglottic device • Also known as a blind insertion Airway Device (BIAD) • Proximal cuff blocks oropharynx • Distal cuff blocks esophagus Revised 11/12 Loudoun County EMS Council, Inc.

  2. Five Sizes Revised 11/12 Loudoun County EMS Council, Inc. Colors for the King LTD do not correlate with Broselow colors. Use the LMA # for the King Airway size.

  3. Other Accessories • Proper BSI • BVM • Oral airway • Tape • Water-based lubricant • Stethoscope Need Picture Revised 11/12 Loudoun County EMS Council, Inc.

  4. Standing Orders for King Airway insertion • When the patient is pulseless and apneic • When the patient does not have a gag reflex (accepts an oral airway) • As an alternative to manage adifficult airway or if intubating a patient is unsuccessful Revised 11/12 Loudoun County EMS Council, Inc.

  5. Contraindications for the use of the King Airway • Patient is ALIVE! • Patient is under 35 inches • Patient has a gag reflex • Patient has ingested a caustic substance Revised 11/12 Loudoun County EMS Council, Inc.

  6. Use of the King Airway • When used in conjunction with AED insertion is considered following: • All Shocks Completed • 3 No Shocks • Complicated Airway (Follow Advanced Airway Protocol) Revised 11/12 Loudoun County EMS Council, Inc.

  7. King Airway Insertion 1 of 7 Prepare Your Equipment Revised 11/12 Loudoun County EMS Council, Inc.

  8. King Airway Insertion 2 of 7 Check tube and balloon Lubricate back of tube only Revised 11/12 Loudoun County EMS Council, Inc.

  9. King Airway Insertion 3 of 7 INSERTION • Preoxygenatepatient for at least 1 minute • Place patient’s head and neck in a neutral position • Remove Oropharyngeal (O.P.) Airway • Grasp tongue and jaw • Lift the tongue and jaw anteriorly (tongue-jaw-lift) • Hold the King Airway at the connector area as you would a pencil Revised 11/12 Loudoun County EMS Council, Inc.

  10. King Airway Insertion 4 of 7 • Insert the tube with the blue line facing the corner of the mouth • As the tube passes behind the tongue, continue to insert while rotating tube until blue line is mid line Revised 11/12 Loudoun County EMS Council, Inc.

  11. King Airway Insertion 5 of 7 • Insert the tube until the base of the connector is at the level of the teeth or gums. • Inflate balloon with the appropriate amount of air based on size used. Revised 11/12 Loudoun County EMS Council, Inc.

  12. King Airway Insertion 6 of 7 CONFIRMATION • Attach a BVM to the KING Airway and while bagging the patient, gently withdraw the tube until ventilation becomes easy and free flowing • Confirm chest rise and lung sounds • Capnography may be used to confirm placement Revised 11/12 Loudoun County EMS Council, Inc.

  13. King Airway Insertion 7 of 7 Securing the Device • After placement has been verified (to include breath sounds) • Insert an oral airway to prevent the patient from biting the tube. • Secure the tube using tape and C-collar. Revised 11/12 Loudoun County EMS Council, Inc.

  14. When to remove the King Airway • TheKing Airway should only be removed if patient regains a gag reflex and begins to “fight” (reject) the tube Revised 11/12 Loudoun County EMS Council, Inc.

  15. How to remove the King Airway • Make sure suction is available and ready • Remove tape and airway • Lay patient on their side • Deflate cuff • Slowly remove tube • Suction patient as needed Revised 11/12 Loudoun County EMS Council, Inc.

  16. REVIEWQUESTIONS Revised 11/12 Loudoun County EMS Council, Inc.

  17. In Loudoun County, you have standing orders to use the King Airway on patients that are ________ . Pulseless and Apneic Revised 11/12 Loudoun County EMS Council, Inc.

  18. When using the King Airway, inflate Size 4 (Red) with __ to __ cc of air and the Size 5 (Purple) with __ to __ cc of air. Red 60-80 cc Blue 70-90 cc Revised 11/12 Loudoun County EMS Council, Inc.

  19. The Cuff (Balloon) should be inflated after assuring chest rise? TRUE or FALSE False Revised 11/12 Loudoun County EMS Council, Inc.

  20. If you do not get chest rise when first ventilating the King Airway, you should _______ . Slightly pull it back and attempt to ventilate Revised 11/12 Loudoun County EMS Council, Inc.

  21. You should secure the King Airway in place using __________. Collar Tape Bite Block Revised 11/12 Loudoun County EMS Council, Inc.

  22. The King Airway should only be used on patients that are ____ inches or taller. 35 Revised 11/12 Loudoun County EMS Council, Inc.

  23. The King Airway should be inserted until __________ . The teeth or gums are at the base of the connector Revised 11/12 Loudoun County EMS Council, Inc.

  24. The EDD should be used to check King Airway placement. TRUE / FALSE False Revised 11/12 Loudoun County EMS Council, Inc.

  25. Which medications could be administered through the King Airway? None Revised 11/12 Loudoun County EMS Council, Inc.

  26. When used in conjunction with an AED, the King Airway should be inserted after the 3rd shock during a cardiac arrest. TRUE / FALSE True Revised 11/12 Loudoun County EMS Council, Inc.

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