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Clin Exp Emerg Med > Accepted Articles
doi: https://doi.org/10.15441/ceem.23.094    [Accepted]
Point-of-care ultrasound for airway management in the emergency and critical care setting
Michael Gottlieb , James R. O’Brien, Nicholas Ferrigno, Tina Sundaram
Department of Emergency Medicine, Rush University Medical Center, Chicago, IL, USA
Correspondence  Michael Gottlieb Email: michaelgottliebmd@gmail.com
Received: July 18, 2023. Revised: August 19, 2023.  Accepted: August 20, 2023. Published online: August 25, 2023.
ABSTRACT
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.
Keywords: Intubation; Airway; Ultrasound; Point-of-care ultrasound
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