title: A Case Report: Establishing a Definitive Airway in a Trauma Patient With a King Laryngeal Tube In Situ in the Presence of a Closed Head Injury and Difficult Airway: "Between the Devil and the Deep Blue Sea".
abstract: Airway management in trauma is a crucial skill, because patients are at risk of aspiration, hypoxia, and hypoventilation, all of which may be fatal in the setting of increased intracranial pressure. The King Laryngeal Tube reusable supraglottic airway (King Systems, Noblesville, IN) allows for temporary management of a difficult airway but poses a challenge when an attempt is made to exchange the device for an endotracheal tube, often managed by emergency tracheostomy. We describe a novel fiberoptic, video laryngoscope-assisted approach to intubation in a difficult trauma airway with an in situ King Laryngeal Tube.
authors.affiliation: From the *Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston General Hospital, Kingston, Ontario, Canada; and †Department of Otolaryngology, Queen's University, Hotel Dieu Hospital, Kingston, Ontario, Canada.
authors.forename: Yuri
authors.initials: Y
authors.lastname: Koumpan
authors.forename: John
authors.initials: J
authors.lastname: Murdoch
authors.forename: Jason A
authors.initials: JA
authors.lastname: Beyea
authors.forename: Michael
authors.initials: M
authors.lastname: Kahn
authors.forename: Jaime
authors.initials: J
authors.lastname: Colbeck
mesh_terms: D000063:Accidents, Traffic; D058109:Airway Management / Q000379:methods; D003399:Craniotomy; D005260:Female; D005336:Fiber Optic Technology; D016489:Head Injuries, Closed; D046648:Hematoma, Subdural, Intracranial / Q000601:surgery*; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D017214:Laryngeal Masks; D007828:Laryngoscopy / Q000379:methods*; D008875:Middle Aged; D009104:Multiple Trauma; D014741:Video Recording