Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-22T18:50:39.709Z Has data issue: false hasContentIssue false

Chapter 7 - Ultrasonography for Airway Management

from Section 1 - Airway Management: Background and Techniques

Published online by Cambridge University Press:  03 October 2020

Tim Cook
Affiliation:
Royal United Hospital, Bath, UK
Michael Seltz Kristensen
Affiliation:
Rigshospitalet, Copenhagen University Hospital, Denmark
Get access

Summary

Ultrasonography is an established modality in medical imaging and is evermore entering clinical practice. This chapter provides an introduction to the principles of clinical ultrasonography. It describes the use of airway ultrasonography for identification of the cricothyroid membrane, the trachea and for confirming correct tracheal intubation. Bedside ultrasonography by the anaesthetist has a much higher success rate than palpation for identifying the cricothyroid membrane, especially in patients with neck pathology. It should be applied before initiation of airway management and not be delayed until airway problems are apparent. The role of lung ultrasonography for identification of normal ventilation and pathology is described. Gastric ultrasonography for assessing the starvation status of a patient is described.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Further Reading

Kristensen, MS. (2011). Ultrasonography in the management of the airway. Acta Anaesthesiologica Scandinavica, 55, 11551173.CrossRefGoogle ScholarPubMed
Kristensen, MS, Teoh, WH. (2018). Front of neck: continued discovery of this anatomy essential for airway management. British Journal of Anaesthesia, 120, 895898.Google Scholar
Kristensen, MS, Teoh, WH, Graumann, O, Laursen, CB. (2014). Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae. Insights into Imaging, 5, 253279.CrossRefGoogle Scholar
Kristensen, MS, Teoh, WH, Rudolph, SS. (2016). Ultrasonographic identification of the cricothyroid membrane: best evidence, techniques, and clinical impact. British Journal of Anaesthesia, 117(Suppl 1), i39i48.CrossRefGoogle ScholarPubMed
Mallin, M, Curtis, K, Dawson, M, Ockerse, P, Ahern, M. (2014). Accuracy of ultrasound-guided marking of the cricothyroid membrane before simulated failed intubation. American Journal of Emergency Medicine, 32, 6163.CrossRefGoogle ScholarPubMed
Perlas, A, Van de Putte, P, Van Houwe, P, Chan, VW. (2016). I-AIM framework for point-of-care gastric ultrasound. British Journal of Anaesthesia,116, 711.CrossRefGoogle ScholarPubMed
Teoh, WH, Kristensen, MS. (2014). Ultrasonographic identification of the cricothyroid membrane. Anaesthesia, 69, 649650.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×