Presented as a poster at the Combined Otolaryngology Spring Meeting, Orlando, Florida, U.S.A., April 12, 2013.
Airway algorithm for the management of patients with a king LT
Article first published online: 7 OCT 2013
© 2013 The American Laryngological, Rhinological and Otological Society, Inc.
Volume 124, Issue 5, pages 1123–1127, May 2014
How to Cite
Khaja, S. F. and Chang, K. E. (2014), Airway algorithm for the management of patients with a king LT. The Laryngoscope, 124: 1123–1127. doi: 10.1002/lary.24374
The authors have no funding, financial relationships, or conflicts of interest to disclose.
- Issue published online: 18 APR 2014
- Article first published online: 7 OCT 2013
- Accepted manuscript online: 18 SEP 2013 05:11AM EST
- Manuscript Revised: 29 JUL 2013
- Manuscript Accepted: 29 JUL 2013
To discuss an algorithm for managing the airway in patients presenting with a King LT in place.
Case series at a single institution with planned chart review.
This study reviewed the management of three patients who presented to a tertiary academic medical facility emergency department following placement of a King LT at an outside hospital or in the field. Clinical history at admission as well as each patient's hospital course was evaluated. We discuss the management of the airway in each of these cases and use these to help design an algorithm for improving outcomes in patients with a King LT in place.
In each of the three cases presented, the Otolaryngology Department was consulted for definitive airway management. In two of these patients, the airway was successfully secured using endotracheal intubation. Only one patient required tracheostomy. We discuss an algorithm for managing these patients to obtain a safe airway, which includes assessing the airway with flexible endoscopy and then proceeding with intubation by the Seldinger technique or intubation using a video laryngoscope. In some cases, tracheostomy will be required to definitively secure the airway.
The King LT is a valuable tool available in the field to help to temporarily secure the airway. Otolaryngologists should have an appropriate airway algorithm for managing patients with a King LT in place to minimize the need for a tracheostomy.
Level of Evidence
4. Laryngoscope, 124:1123–1127, 2014