KING LT AIRWAYAirway management

SIZESYELLOW 4-5 ft

Balloon filled 45-60ccRED 5-6 ft

Balloon filled 60-80 ccPurple greater than 6 ft

Balloon filled 70-90cc

INDICATIONSBLS Airway

Unconscious patient with unprotected airway and no gag reflex

Failed ALS airway

CONTRAINDICATIONSIntact gag reflex

Known esophageal disease

Ingestion of caustic substance

INSERTIONChoose correct size based on patient height

Test cuff for air leaks

Apply lubricant to distal tip

Insertion video

http://www.youtube.com/watch?v=ca710sG4-ck

ASSESS PLACEMENTAttach BVM and ventilate

Listen to BS bilaterally

Utilize Capnography

REMOVAL OF KING COMBITUBE

INDICATIONS

Return of gag reflex

PROCEDURETurn on suction unit

Deflate balloon

Turn patient on side and be prepared to suction

Remove KING tube and suction as necessary

REMOVAL BY PM OR MDPer Snohomish County Protocol 11-10

“A paramedic or physician may choose to remove the device to replace it with and endotracheal tube. The patient’s airway is your responsibility until you educate higher level medical personnel to the specifics of the device, and said medical personnel make an informed decision to remove the device.”