King airway changeover to ET tube with bougie

This is a snapshot video of changing the King airway into an ET tube over a bougie. Before doing this with a real patient, go to the website below to see the more detailed and complete description from the manufacturer.

http://www.kingsystems.com/PRODUCTS/AirwayDevices/KINGLT/tabid/86/Default.aspx

Category:

Education

Tags:

• VID
• 00030

[hartattack18]

Not liking this idea...while this is going on no compressions can be done, thus u could only do this on a pt who is stable with a tube....why switch if they are stable? Unless ur worried of gastric juices being aspirated...

[cathode16]

Your comments are dead-on, Hartattack18. Changing a king airway over a bougie is an elective procedure AFTER the patient is in the hospital and stabilized.

[dannyridelman]

@cathode16

agree. king lt is not a definitive airway. i would not send a pt with a king lt to ct or x ray. needs to be switched as soon as pt is stable. anyone out there with hands on experience? how often do u end up misplacing it and occluding the trachea with this thing?

[cathode16]

So far never. It always goes in the esophagus. Misplacement can happen if the tip is folded over itself as it's insert and if it is placed too deeply. If placed very deep than the large balloon which is supposed to be in the post-pharynx can be so deep that the balloon itself obtructs the trachea. I personal am comfortable leaving them in for the CT scan especially if it was a disaster airway, i would want to be completely stabilized first even operatively, but it's a judgment call.

[cathode16]

The whole point of a King is it rapidly establishes oxygenation and ventilation in the most critical of patients and to monkey around with bougie's or worse yet, interrupt the resuscitation or compressions would be reckless.

[cathode16]

Eventually, it's nice to change it out to an endotracheal tube that you can bronch through and is not as much of a pressure load on the oropharynx, but ONLY after everything else is stabilized.

[dannyridelman]

per maker, needs to be insterted "laterally" and rotated as it goes in.

[hartattack18]

Sweet deal! Thanks for the response!

[WEPPONIAN]

Anxiously awaiting the HD version.