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Airway & ventilation

Hypopharyngeal perforation after King laryngeal tube

Hypopharyngeal Perforation Associated with King Laryngeal Tube Use in Prehospital Cardiac Arrest Management
Prehospital Emergency Care · Added 27 July 2026

Hypopharyngeal perforation is a rare but serious complication of prehospital King laryngeal tube placement.

Study type
Case series
Design
Case series with postmortem CT findings
Participants
3 OHCA patients
Main finding
All three developed extensive subcutaneous emphysema and two had pneumothorax; postmortem CT showed anterolateral device deviation from the oesophageal axis
Caveat
Only three cases; postmortem diagnosis, no serial capnography available
Bottom line
Context only

Learning goal

Strengthen my judgement on airway device positioning and early recognition of iatrogenic airway injury during cardiac arrest management.

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