The King laryngeal tube: a mimic of esophageal intubation in the emergency department
The King Airway is a temporary airway device used primarily in the pre-hospital setting and typically exchanged for an endotracheal tube upon arrival to the emergency department. Since this usually occurs before imaging, many radiologists are unfamiliar with the King Airway. This lack of familiarity...
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| Published in: | Emergency radiology Vol. 24; no. 6; pp. 701 - 704 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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Berlin/Heidelberg
Springer Berlin Heidelberg
01-12-2017
Springer Nature B.V |
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| Abstract | The King Airway is a temporary airway device used primarily in the pre-hospital setting and typically exchanged for an endotracheal tube upon arrival to the emergency department. Since this usually occurs before imaging, many radiologists are unfamiliar with the King Airway. This lack of familiarity can have important consequences for the patient and treating team. The purpose of this article is to raise awareness of the King Airway among radiologists, emphasize appropriate positioning, and review the imaging complications of incorrect positioning. |
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| AbstractList | The King Airway is a temporary airway device used primarily in the pre-hospital setting and typically exchanged for an endotracheal tube upon arrival to the emergency department. Since this usually occurs before imaging, many radiologists are unfamiliar with the King Airway. This lack of familiarity can have important consequences for the patient and treating team. The purpose of this article is to raise awareness of the King Airway among radiologists, emphasize appropriate positioning, and review the imaging complications of incorrect positioning. |
| Author | Root, Christopher W. St. George, Jonathan Drexler, Ian R. Legasto, Alan C. Green, Daniel B. |
| Author_xml | – sequence: 1 givenname: Daniel B. surname: Green fullname: Green, Daniel B. email: dag2017@med.cornell.edu organization: Department of Radiology, New York-Presbyterian Hospital/Weill Cornell Medical College – sequence: 2 givenname: Christopher W. surname: Root fullname: Root, Christopher W. organization: Department of Emergency Medical Services, New York-Presbyterian Hospital/Weill Cornell Medical College – sequence: 3 givenname: Ian R. surname: Drexler fullname: Drexler, Ian R. organization: Department of Radiology, New York-Presbyterian Hospital/Weill Cornell Medical College – sequence: 4 givenname: Alan C. surname: Legasto fullname: Legasto, Alan C. organization: Department of Radiology, New York-Presbyterian Hospital/Weill Cornell Medical College – sequence: 5 givenname: Jonathan surname: St. George fullname: St. George, Jonathan organization: Department of Emergency Medicine, New York-Presbyterian Hospital/Weill Cornell Medical College |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28634749$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1097/00000539-200005000-00042 10.1001/archoto.2010.172 10.1016/j.jofri.2013.04.001 10.1007/s12630-015-0493-x 10.1080/10903120701710488 10.1016/j.resuscitation.2014.02.032 10.1016/j.resuscitation.2010.12.014 10.1016/j.ajem.2007.11.006 |
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| Keywords | Emergency intubation King laryngeal tube Alternative airway devices |
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| References | Russi, Miller, Hartley (CR2) 2008; 12 Wang, Mann, Mears (CR4) 2011; 82 Schweitzer, Spycher, Winklhofer (CR6) 2013; 1 Dörges, Ocker, Wenzel, Schmucker (CR1) 2000; 90 Subramanian, Garcia-Marcinkiewicz, Brown (CR8) 2016; 63 Khaja, Provenzano, Chang (CR7) 2010; 136 Trabold, Schmidt, Schneider (CR3) 2008; 26 Diggs, Yusuf, De Leo (CR5) 2014; 85 20956743 - Arch Otolaryngol Head Neck Surg. 2010 Oct;136(10):979-82 21288624 - Resuscitation. 2011 Apr;82(4):378-85 24642405 - Resuscitation. 2014 Jul;85(7):885-92 18189175 - Prehosp Emerg Care. 2008 Jan-Mar;12(1):35-41 18774043 - Am J Emerg Med. 2008 Sep;26(7):783-8 10781484 - Anesth Analg. 2000 May;90(5):1220-2 26514982 - Can J Anaesth. 2016 Mar;63(3):275-82 CS Russi (1529_CR2) 2008; 12 SF Khaja (1529_CR7) 2010; 136 V Dörges (1529_CR1) 2000; 90 LA Diggs (1529_CR5) 2014; 85 W Schweitzer (1529_CR6) 2013; 1 B Trabold (1529_CR3) 2008; 26 HE Wang (1529_CR4) 2011; 82 A Subramanian (1529_CR8) 2016; 63 |
| References_xml | – volume: 90 start-page: 1220 issue: 5 year: 2000 end-page: 1222 ident: CR1 article-title: The laryngeal tube: a new simple airway device publication-title: Anesth Analg doi: 10.1097/00000539-200005000-00042 contributor: fullname: Schmucker – volume: 136 start-page: 979 issue: 10 year: 2010 end-page: 982 ident: CR7 article-title: Use of the King LT for emergency airway management publication-title: Arch Otolaryngol Head Neck Surg doi: 10.1001/archoto.2010.172 contributor: fullname: Chang – volume: 1 start-page: 119 issue: 3 year: 2013 end-page: 123 ident: CR6 article-title: Assessment of laryngeal tube placement on post mortem computed tomography scans publication-title: J Forens Radiol Imag doi: 10.1016/j.jofri.2013.04.001 contributor: fullname: Winklhofer – volume: 63 start-page: 275 issue: 3 year: 2016 end-page: 282 ident: CR8 article-title: Definitive airway management of patients presenting with a pre-hospital inserted King LT(S)-D laryngeal tube airway: a historical cohort study publication-title: Can J Anaesth doi: 10.1007/s12630-015-0493-x contributor: fullname: Brown – volume: 12 start-page: 35 issue: 1 year: 2008 end-page: 41 ident: CR2 article-title: A comparison of the King-LT to endotracheal intubation and Combitube in a simulated difficult airway publication-title: Prehosp Emerg Care doi: 10.1080/10903120701710488 contributor: fullname: Hartley – volume: 85 start-page: 885 issue: 7 year: 2014 end-page: 892 ident: CR5 article-title: An update on out-of-hospital airway management practices in the United States publication-title: Resuscitation doi: 10.1016/j.resuscitation.2014.02.032 contributor: fullname: De Leo – volume: 82 start-page: 378 issue: 4 year: 2011 end-page: 385 ident: CR4 article-title: Out-of-hospital airway management in the United States publication-title: Resuscitation doi: 10.1016/j.resuscitation.2010.12.014 contributor: fullname: Mears – volume: 26 start-page: 783 issue: 7 year: 2008 end-page: 788 ident: CR3 article-title: Application of three airway devices during emergency medical training by health care providers—a manikin study publication-title: Am J Emerg Med doi: 10.1016/j.ajem.2007.11.006 contributor: fullname: Schneider – volume: 82 start-page: 378 issue: 4 year: 2011 ident: 1529_CR4 publication-title: Resuscitation doi: 10.1016/j.resuscitation.2010.12.014 contributor: fullname: HE Wang – volume: 1 start-page: 119 issue: 3 year: 2013 ident: 1529_CR6 publication-title: J Forens Radiol Imag doi: 10.1016/j.jofri.2013.04.001 contributor: fullname: W Schweitzer – volume: 12 start-page: 35 issue: 1 year: 2008 ident: 1529_CR2 publication-title: Prehosp Emerg Care doi: 10.1080/10903120701710488 contributor: fullname: CS Russi – volume: 63 start-page: 275 issue: 3 year: 2016 ident: 1529_CR8 publication-title: Can J Anaesth doi: 10.1007/s12630-015-0493-x contributor: fullname: A Subramanian – volume: 85 start-page: 885 issue: 7 year: 2014 ident: 1529_CR5 publication-title: Resuscitation doi: 10.1016/j.resuscitation.2014.02.032 contributor: fullname: LA Diggs – volume: 90 start-page: 1220 issue: 5 year: 2000 ident: 1529_CR1 publication-title: Anesth Analg doi: 10.1097/00000539-200005000-00042 contributor: fullname: V Dörges – volume: 136 start-page: 979 issue: 10 year: 2010 ident: 1529_CR7 publication-title: Arch Otolaryngol Head Neck Surg doi: 10.1001/archoto.2010.172 contributor: fullname: SF Khaja – volume: 26 start-page: 783 issue: 7 year: 2008 ident: 1529_CR3 publication-title: Am J Emerg Med doi: 10.1016/j.ajem.2007.11.006 contributor: fullname: B Trabold |
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| SubjectTerms | Aneurysm, Ruptured - diagnostic imaging Case Report Emergency medical services Emergency Medicine Emergency Service, Hospital Emergency services Equipment Design Fatal Outcome Humans Imaging Intracranial Aneurysm - diagnostic imaging Intubation, Intratracheal - instrumentation Male Medicine Medicine & Public Health Middle Aged Patient Positioning Radiology |
| Title | The King laryngeal tube: a mimic of esophageal intubation in the emergency department |
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