Anesth Analg 2006;102:621-625
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000189101.26403.06
GENERAL ARTICLES
An Evaluation of the Insertion and Function of a New Supraglottic Airway Device, the King LT TM, During Spontaneous Ventilation
Carin Hagberg, MD,
Yefim Bogomolny, MD,
Clarence Gilmore, MD,
Valentine Gibson, MD,
Mark Kaitner, MD, and
Somya Khurana, MD
Department of Anesthesiology, The University of Texas Medical School at Houston, Houston, Texas
Address correspondence and reprint requests to Carin A. Hagberg, MD, Department of Anesthesiology, The University of Texas Medical School at Houston, 6431 Fannin, MSB 5.020, Houston, Texas 77030-1503. Address e-mail to Carin.A.Hagberg{at}uth.tmc.edu.
Trials of the King LT TM (LT, King Systems, Noblesville, IN) in controlled ventilation of the lungs have shown that it is an effective supraglottic airway device. We designed this study to evaluate the King LT TM regarding ease of insertion, position within the airway, and anatomic sealing properties during spontaneous ventilation in 50 ASA physical status I–III, Mallampati I–III, adult patients undergoing routine general anesthesia. Anesthesia was induced with up to 2 µg/kg fentanyl and 1.5–2 mg/kg propofol and maintained with 70% N2O/30%O2 and isoflurane. Insertion time, oropharyngeal leak pressures, fiberoptic position, and spirometry and hemodynamic data were recorded. Any complications were noted. Insertion was determined to be easy and a patent airway was achieved in all patients. First, second, and third attempt insertion rates were 86%, 12%, and 2%, respectively. Time to place the King LT TM was <5 s in 90% of cases. Baseline leak pressures were 31 ± 8.8 cm H2O (17–50 cm H2O). Complications included laryngospasm (1) and coughing (3) on extubation. The incidence of sore throat at 1 h and 24 h postoperatively was 22% and 15%, respectively. The King LT TM is a simple and reliable supraglottic airway device for airway management during spontaneous ventilation.
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