• A&A practice · Aug 2018

    Case Reports

    Fiberoptic-Guided Use of an Airway Exchange Catheter During Exchange of a Kinked King LTS-D Laryngeal Tube for an Endotracheal Tube: A Case Report.

    • Diana J Kelm, Xun Zhu, Daniel A Diedrich, Matthew J Ritter, and Ognjen Gajic.
    • From the Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine.
    • A A Pract. 2018 Aug 15; 11 (4): 100-102.

    AbstractThe use of supraglottic airway devices such as the King LTS-D laryngeal tube has increased in the prehospital setting because of their relative ease of successful insertion, even in the hands of inexperienced providers. However, these devices have their own associated complications. In patients with a known or suspected difficult airway, supraglottic airway device exchanges should occur under controlled conditions using an airway exchange catheter, preferably under direct visualization with a flexible fiberoptic bronchoscope. We report unanticipated difficulties with supraglottic airway exchange caused by a kinked King LTS-D laryngeal tube.

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