King Airway LTS-D

(Revised 2-07) Standard: D.O.T. Paramedic and the D.O.T. EMT Curriculum. Florida Regional Common EMS Protocol 2004 The unconscious patient needing airway control after two (2) unsuccessful endotracheal intubation attempts Patient has an intact gag reflex Ingested a caustic substance Esophageal disease or Esophageal Varicies Patient's under 4 feet tall Does NOT protect the airway from regurgitation and aspiration Intubation of the trachea. Stimulation of gag reflex Soft tissue trauma Proper placement prohibits tracheal suctioning

Indication:

Contraindication:

Side Effect:

Steps for inserting the King Airway KING LTS-D INSERTION INSTRUCTIONS 1. Test cuff inflation by injecting the maximum recommended volume of air (80 ml) into the cuffs Remove all air from both cuffs prior to insertion. 2. Apply a water-based lubricant to the beveled distal tip and posterior aspect of the tube, taking care to avoid introduction of lubricant in or near the ventilatory openings. 3. Pre-oxygenate the patient.

4. Position the patients head. The ideal head position for insertion of the KING LTS-D is the "sniffing position". However, the angle and shortness of the tube also allows it to be inserted with the head in a neutral position. 5. Hold the KING LTS-D at the connector with dominant hand. With non-dominant hand, hold mouth open and apply chin lift. 6. With the KING LTS-D rotated laterally 45-90 such that the blue orientation line is touching the corner of the mouth, introduce tip into mouth and advance behind base of tongue. Never force the tube into position.

7. As tube tip passes under tongue, rotate tube back to midline (blue orientation line faces chin). 8. Without exerting excessive force, advance KING LTS-D until proximal opening of gastric access lumen is aligned with teeth or gums.

10. Inflate cuffs with the minimum volume necessary to seal the airway (60-80ml).

11. Attach the BVD and while gently bagging the patient to assess ventilation, simultaneously pull back the King LTS-D device until ventilations go in with ease.

12. Confirm proper position by auscultation, chest movement and verification of CO2 by capnography. 13. Secure KING LTS-D to patient using an approved commercial device or by tape. A bite block can also be used, if desire

*DO NOT COVER THE PROXIMAL OPENING OF THE GASTRIC ACCESS LUMEN. The gastric access lumen allows the insertion of a 16 Fr diameter gastric tube into the esophagus and stomach if needed. Lubricate gastric tube prior to insertion.