Clin Exp Emerg Med.  2022 Sep;9(3):257-261. 10.15441/ceem.21.159.

Emergent use of a King laryngeal tube for traumatic intraoral bleeding: two case reports

Affiliations
  • 1Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University School of Medicine, Bucheon, Korea
  • 2Department of Emergency Medicine, Andong Medical Group Hospital, Andong, Korea
  • 3Department of Emergency Medicine, Seoul National University Bundang Hospital, Seoul National University School of Medicine, Seongnam, Korea

Abstract

Maxillofacial trauma occasionally presents a serious challenge for physicians, and an orofacial injury can be considered life-threatening. It is difficult to control the bleeding and prevent airway obstruction simultaneously with conventional treatment. Herein, we share two cases in which we managed massive orofacial bleeding using a King laryngeal tube, a supraglottic airway device equipped with an inflatable balloon. Both patients had uncontrolled orofacial bleeding. In one of the patients, endotracheal intubation was possible; however, bleeding continued, and vital signs became unstable. The second patient had failed endotracheal intubation due to uncontrolled bleeding. We deployed the King laryngeal tube in both patients and achieved bleeding control and airway maintenance. Both patients were discharged without complications after 3 to 4 weeks. The King laryngeal tube method can be considered a useful management option for addressing massive orofacial bleeding that is uncontrollable with conventional treatment.

Keyword

Wounds and injuries; Airway management; Hemostasis; Case report
Full Text Links
  • CEEM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr