Point-of-care ultrasound for airway management in the emergency and critical care setting

Autor: Michael Gottlieb, James R. O’Brien, Nicholas Ferrigno, Tina Sundaram
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Clinical and Experimental Emergency Medicine, Vol 11, Iss 1, Pp 22-32 (2024)
Druh dokumentu: article
ISSN: 2383-4625
DOI: 10.15441/ceem.23.094
Popis: Airway management is a common procedure within emergency and critical care medicine. Traditional techniques for predicting and managing a difficult airway each have important limitations. As the field has evolved, point-of-care ultrasound has been increasingly utilized for this application. Several measures can be used to sonographically predict a difficult airway, including skin to epiglottis, hyomental distance, and tongue thickness. Ultrasound can also be used to confirm endotracheal tube intubation and assess endotracheal tube depth. Ultrasound is superior to the landmark-based approach for locating the cricothyroid membrane, particularly in patients with difficult anatomy. Finally, we provide an algorithm for using ultrasound to manage the crashing patient on mechanical ventilation. After reading this article, readers will have an enhanced understanding of the role of ultrasound in airway management.
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