Airway management using ultrasound
Keywords:
Ultrasonography, Airway management, Intubation, Epiglottis, Anesthesia
Abstract
Ultrasonography as a diagnostic and therapeutic tool has greatly impacted the anesthesiologist's routine in multiple practical applications. However, only recently there have been some reports published in the literature on the use of ultrasonography for the management of the airway in the surgical and ICU patients. Being a portable, easy to use, non-invasive tool that does not require any ionizing energy, ultrasonography becomes highly attractive when the anesthesiologist faces practical issues in a difficult airway. The purpose of this review was precisely to show the potential uses of ultrasonography for difficult airway management, from the literature perspective.
There is enough trials-based evidence so far to recommend the use of ultrasonography for the following situations: identification of anatomical airway structures, static detection of a failed or esophageal intubation, dynamic airway measurements, and size determination of endotracheal tubes; identification of predictors of a difficult airway in patients with challenging necks, and trans-tracheal techniques to secure the airway
Nevertheless, further studies with strong methodological quality are required to show the potential of ultrasonography to impact the difficult airway management and the morbidity and mortality associated with this condition.
References
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2. Prasad A, Singh M, Chan VW. Ultrasound imaging of the airway. Can J Anaesth. 2009;56:868-9.
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4. Kristensen MS, Teoh WH, Graumann O, Laursen CB. Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae. Insights Imaging. 2014;5:253-79.
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8. Kaur B, Tang R, Sawka A, Krebs C, Vaghadia H. A method for ultrasonographic visualization and injection of the superior laryngeal nerve: volunteer study and cadaver simulation. Anesth Analg. 2012;115:1242-5.
9. Brun PM, Bessereau J, Cazes N, Querellou E, Chenaitia H. Lung ultrasound associated to capnography to verify correct endotracheal tube positioning in prehospital. Am J Emerg Med. 2012;30:2080-e5.
10. Galicinao J, Bush AJ, Godambe SA. Use of bedside ultrasonography for endotracheal tube placement in pediatric patients: a feasibility study. Pediatrics. 2007;120:1297-303.
11. Kerrey BT, Geis GL, Quinn AM, Hornung RW, Ruddy RM. A prospective comparison of diaphragmatic ultrasound and chest radiography to determine endotracheal tube position in a pediatric emergency department. Pediatrics. 2009;123:e1039-44.
12. Rudraraju P, Eisen LA. Confirmation of endotracheal tube position: a narrative review. J Intensive Care Med. 2009;24:283-92.
13. Muslu B, Sert H, Kaya A, Demircioglu RI, Gozdemir M, Usta B, et al. Use of sonography for rapid identification of esophageal and tracheal intubations in adult patients. J Ultrasound Med. 2011;30:671-6.
14. Chou HC, Chong KM, Sim SS, Ma MH, Liu SH, Chen NC, et al. Real-time tracheal ultrasonography for confirmation of endotracheal tube placement during cardiopulmonary resuscitation. Resuscitation. 2013;84:1708-12.
15. Ma G, Davis DP, Schmitt J, Vilke GM, Chan TC, Hayden SR. The sensitivity and specificity of transcricothyroid ultrasonography to confirm endotracheal tube placement in a cadaver model. J Emerg Med. 2007;32:405-7.
16. Abbasi S, Farsi D, Zare MA, Hajimohammadi M, Rezai M, Hafezimoghadam P. Direct ultrasound methods: a confirmatory technique for proper endotracheal intubation in the emergency department. Eur J Emerg Med. 2014;22:10-6.
17. Kim EJ, Kim SY, Kim WO, Kim H, Kil HK. Ultrasound measurement of subglottic diameter and an empirical formula for proper endotracheal tube fitting in children. Acta Anaesthesiol Scand. 2013;57:1124-30.
18. Schramm C, Knop J, Jensen K, Plaschke K. Role of ultrasound compared to age-related formulas for uncuffed endotracheal intubation in a pediatric population. Paediatr Anaesth. 2012;22:781-6.
19. Shibasaki M, Nakajima Y, Ishii S, Shimizu F, Shime N, Sessler DI. Prediction of pediatric endotracheal tube size by ultrasonography. Anesthesiology. 2010;113:819-24.
20. Ezri T, Gewurtz G, Sessler DI, Medalion B, Szmuk P, Hagberg C, et al. Prediction of difficult laryngoscopy in obese patients by ultrasound quantification of anterior neck soft tissue. Anaesthesia. 2003;58:1111-4.
21. Turkay Aydogmus M, Erkalp K, Nadir Sinikoglu S, Usta TA, Ulger O, Alagol GA. Is ultrasonic investigation of transverse tracheal air shadow diameter reasonable for evaluation of difficult airway in pregnant women: a prospective comparative study. Pak J Med Sci. 2014;30:91-5.
22. Ball DR, Stallard M. Retrograde tracheal intubation for bleeding and fragmenting airway tumours. Anaesthesia. 2014;69:182.
23. Vieira D, Lages N, Dias J, Maria L, Correia C. Ultrasound-guided retrograde intubation. Anaesthesia. 2013;68:1075-6.
24. Mallick A, Bodenham AR. Tracheostomy in critically ill patients. Eur J Anaesthesiol. 2010;27:676-82.
25. Mallin M, Curtis K, Dawson M, Ockerse P, Ahern M. Accuracy of ultrasound-guided marking of the cricothyroid membrane before simulated failed intubation. Am J Emerg Med. 2014;32:61-3.
26. Ding LW, Wang HC, Wu HD, Chang CJ, Yang PC. Laryngeal ultrasound: a useful method in predicting post-extubation stridor. A pilot study. Eur Respir J. 2006;27:384-9.
2. Prasad A, Singh M, Chan VW. Ultrasound imaging of the airway. Can J Anaesth. 2009;56:868-9.
3. Terkawi AS, Karakitsos D, Elbarbary M, Blaivas M, Durieux ME. Ultrasound for the anesthesiologists: present and future. Sci World J. 2013;2013:683-5.
4. Kristensen MS, Teoh WH, Graumann O, Laursen CB. Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae. Insights Imaging. 2014;5:253-79.
5. Green JS, Tsui BC. Applications of ultrasonography in ENT: airway assessment and nerve blockade. Anesthesiol Clin. 2010;28:541-53.
6. Adewale L. Anatomy and assessment of the pediatric airway. Paediatr Anaesth. 2009;19 Suppl. 1:1-8.
7. Tsui B, Ip V, Walji A. Airway sonography in live models and cadavers. J Ultrasound Med. 2013;32:1049-58.
8. Kaur B, Tang R, Sawka A, Krebs C, Vaghadia H. A method for ultrasonographic visualization and injection of the superior laryngeal nerve: volunteer study and cadaver simulation. Anesth Analg. 2012;115:1242-5.
9. Brun PM, Bessereau J, Cazes N, Querellou E, Chenaitia H. Lung ultrasound associated to capnography to verify correct endotracheal tube positioning in prehospital. Am J Emerg Med. 2012;30:2080-e5.
10. Galicinao J, Bush AJ, Godambe SA. Use of bedside ultrasonography for endotracheal tube placement in pediatric patients: a feasibility study. Pediatrics. 2007;120:1297-303.
11. Kerrey BT, Geis GL, Quinn AM, Hornung RW, Ruddy RM. A prospective comparison of diaphragmatic ultrasound and chest radiography to determine endotracheal tube position in a pediatric emergency department. Pediatrics. 2009;123:e1039-44.
12. Rudraraju P, Eisen LA. Confirmation of endotracheal tube position: a narrative review. J Intensive Care Med. 2009;24:283-92.
13. Muslu B, Sert H, Kaya A, Demircioglu RI, Gozdemir M, Usta B, et al. Use of sonography for rapid identification of esophageal and tracheal intubations in adult patients. J Ultrasound Med. 2011;30:671-6.
14. Chou HC, Chong KM, Sim SS, Ma MH, Liu SH, Chen NC, et al. Real-time tracheal ultrasonography for confirmation of endotracheal tube placement during cardiopulmonary resuscitation. Resuscitation. 2013;84:1708-12.
15. Ma G, Davis DP, Schmitt J, Vilke GM, Chan TC, Hayden SR. The sensitivity and specificity of transcricothyroid ultrasonography to confirm endotracheal tube placement in a cadaver model. J Emerg Med. 2007;32:405-7.
16. Abbasi S, Farsi D, Zare MA, Hajimohammadi M, Rezai M, Hafezimoghadam P. Direct ultrasound methods: a confirmatory technique for proper endotracheal intubation in the emergency department. Eur J Emerg Med. 2014;22:10-6.
17. Kim EJ, Kim SY, Kim WO, Kim H, Kil HK. Ultrasound measurement of subglottic diameter and an empirical formula for proper endotracheal tube fitting in children. Acta Anaesthesiol Scand. 2013;57:1124-30.
18. Schramm C, Knop J, Jensen K, Plaschke K. Role of ultrasound compared to age-related formulas for uncuffed endotracheal intubation in a pediatric population. Paediatr Anaesth. 2012;22:781-6.
19. Shibasaki M, Nakajima Y, Ishii S, Shimizu F, Shime N, Sessler DI. Prediction of pediatric endotracheal tube size by ultrasonography. Anesthesiology. 2010;113:819-24.
20. Ezri T, Gewurtz G, Sessler DI, Medalion B, Szmuk P, Hagberg C, et al. Prediction of difficult laryngoscopy in obese patients by ultrasound quantification of anterior neck soft tissue. Anaesthesia. 2003;58:1111-4.
21. Turkay Aydogmus M, Erkalp K, Nadir Sinikoglu S, Usta TA, Ulger O, Alagol GA. Is ultrasonic investigation of transverse tracheal air shadow diameter reasonable for evaluation of difficult airway in pregnant women: a prospective comparative study. Pak J Med Sci. 2014;30:91-5.
22. Ball DR, Stallard M. Retrograde tracheal intubation for bleeding and fragmenting airway tumours. Anaesthesia. 2014;69:182.
23. Vieira D, Lages N, Dias J, Maria L, Correia C. Ultrasound-guided retrograde intubation. Anaesthesia. 2013;68:1075-6.
24. Mallick A, Bodenham AR. Tracheostomy in critically ill patients. Eur J Anaesthesiol. 2010;27:676-82.
25. Mallin M, Curtis K, Dawson M, Ockerse P, Ahern M. Accuracy of ultrasound-guided marking of the cricothyroid membrane before simulated failed intubation. Am J Emerg Med. 2014;32:61-3.
26. Ding LW, Wang HC, Wu HD, Chang CJ, Yang PC. Laryngeal ultrasound: a useful method in predicting post-extubation stridor. A pilot study. Eur Respir J. 2006;27:384-9.
How to Cite
1.
Zamudio-Burbano MA, Casas-Arroyave FD. Airway management using ultrasound. Colomb. J. Anesthesiol. [Internet]. 2015 Oct. 1 [cited 2024 Jul. 2];43(4):307–313. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/347
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Published
2015-10-01
How to Cite
1.
Zamudio-Burbano MA, Casas-Arroyave FD. Airway management using ultrasound. Colomb. J. Anesthesiol. [Internet]. 2015 Oct. 1 [cited 2024 Jul. 2];43(4):307–313. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/347
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