Definitive airway management of patients presenting with a pre-hospital inserted King LT(S)-D™ laryngeal tube airway: a historical cohort study

Abstract

Purpose The King LT(S)-D TM laryngeal tube (King LT) has gained popularity as a bridge airway for pre-hospital airway management. In this study, we retrospectively reviewed the use of the King LT and its associated airway outcomes at a single Level 1 trauma centre. Methods The data on all adult patients presenting to the Mayo Clinic in Rochester, Minnesota with a King LT in situ from

In reply: Definitive airway management in emergency department patients with a King laryngeal tube™ in place: a simple and safe approach

“…We thank Dr. Dodd et al for their interest in our manuscript 1 and sharing their experience. They describe an alternate, equally safe, controlled technique using a video laryngoscope-guided exchange with excellent results.…”

Definitive airway management in emergency department patients with a King laryngeal tube™ in place: a simple and safe approach

“…We read with interest the article by Subramanian et al 1 describing their experience with definitive airway management in 48 patients arriving at the emergency department (ED) with a King LT(S)-D TM laryngeal tube (KingLT) placed by pre-hospital personnel. We agree that there are potential complications associated with removing the KingLT in such patients.…”

Exchanging a King Laryngeal Tube™ for an endotracheal tube using a fibreoptic bronchoscope−Aintree catheter combination in a known difficult airway

“…1 The FOB-AIC technique was also shown to be superior to extraluminal techniques of FOB intubation in a mannequin and cadaver study performed by Budde et al 2 Hence, we elected to use the FOB-AIC technique to secure this patient's airway and avoid the challenges associated with other exchange methods. 3,4 The FOB-AIC offers distinct advantages over other such methods. Its easy maneuverability, minimal internal diameter (ID)-OD discrepancy (i.e., FOB OD 4.0 mm, AIC ID 4.9 mm, AIC OD 6.0 mm, ETT ID 7.0 mm) and ability to fit through a bronchoscopy elbow -and thus maintain PPV -eliminate the need to deflate the cuffs or remove an in situ King LT prior to ETT placement.…”