4.8: King Airway Insertion
- Page ID
- 84380
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For use in respiratory failure without the presence of a gag reflex. Always used in conjunction with a BVM.
- Confirm lack of gag reflex with OPA insertion.
- Pre-oxygenate using BVM and adjuncts while the device is being prepared.
- Select proper size based on manufacturer recommendation.
- Remove from packaging.
- Inflate distal cuffs to ensure there are no leaks – deflate both cuffs before inserting.
- Lubricate distal tip with water-based lubricant.
- Remove the OPA if present.
- Grasp the patient’s tongue and lower jaw and pull forward to open the mouth.
- Insert King Airway up to the colored connection.
- Inflate distal cuffs to manufacturer recommendation & remove syringe.
- Failure to remove the syringe will result in the cuffs deflating and ineffective seal.
- Attach BVM and deliver small “puffs” via BVM while retracting King Airway from the patient.
- Stop retracting when you see chest rise and resistance on the bag is decreased.
- Note – you may see the balloon in the back of the mouth, this is normal.
- Confirm placement using stethoscope and auscultating lung sounds and the absence of epigastric sounds.
- Additional confirmation needed – increase in SpO2, improvement in skin color, presence of good chest rise.
- Ongoing confirmation needed with every ventilation. Whichever team member is assigned to the BVM needs to continually assess for effectiveness of ventilations.
- If gag reflex returns and/or vomiting begins, immediately turn the patient onto their side, remove the device and suction as needed.
- Return to BVM with a mask when airway is clear.
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King Airway |
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5 (instructor) |
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Initials |
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