The KING LT-D is a disposable supraglottic airway designed for positive pressure ventilation as well as for spontaneously breathing patients. Limiting factors such as the tactical environment (e.g., low-light conditions) and “skill-fade” may contraindicate the use of an endotracheal tube for securing the airway. Therefore, the King LT-D serves as an intermediate step between an NPA and a Surgical Airway (cric), as it is not always needed to proceed from the least to most invasive.