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Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae

OBJECTIVES: To create a state-of-the-art overview of the new and expanding role of ultrasonography in clinical decision-making, intervention and management of the upper and lower airways, that is clinically relevant, up-to-date and practically useful for clinicians. METHODS: This is a narrative revi...

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Autores principales: Kristensen, Michael S., Teoh, Wendy H., Graumann, Ole, Laursen, Christian B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3999368/
https://www.ncbi.nlm.nih.gov/pubmed/24519789
http://dx.doi.org/10.1007/s13244-014-0309-5
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author Kristensen, Michael S.
Teoh, Wendy H.
Graumann, Ole
Laursen, Christian B.
author_facet Kristensen, Michael S.
Teoh, Wendy H.
Graumann, Ole
Laursen, Christian B.
author_sort Kristensen, Michael S.
collection PubMed
description OBJECTIVES: To create a state-of-the-art overview of the new and expanding role of ultrasonography in clinical decision-making, intervention and management of the upper and lower airways, that is clinically relevant, up-to-date and practically useful for clinicians. METHODS: This is a narrative review combined with a structured Medline literature search. RESULTS: Ultrasonography can be utilised to predict airway difficulty during induction of anaesthesia, evaluate if the stomach is empty or possesses gastric content that poses an aspiration risk, localise the essential cricothyroid membrane prior to difficult airway management, perform nerve blocks for awake intubation, confirm tracheal or oesophageal intubation and facilitate localisation of tracheal rings for tracheostomy. Ultrasonography is an excellent diagnostic tool in intraoperative and emergency diagnosis of pneumothorax. It also enables diagnosis and treatment of interstitial syndrome, lung consolidation, atelectasis, pleural effusion and differentiates causes of acute breathlessness during pregnancy. Patient safety can be enhanced by performing procedures under ultrasound guidance, e.g. thoracocentesis, vascular line access and help guide timing of removal of chest tubes by quantification of residual pneumothorax size. CONCLUSIONS: Ultrasonography used in conjunction with hands-on management of the upper and lower airways has multiple advantages. There is a rapidly growing body of evidence showing its benefits. TEACHING POINTS: • Ultrasonography is becoming essential in management of the upper and lower airways. • The tracheal structures can be identified by ultrasonography, even when unidentifiable by palpation. • Ultrasonography is the primary diagnostic approach in suspicion of intraoperative pneumothorax. • Point-of-care ultrasonography of the airways has a steep learning curve. • Lung ultrasonography allows treatment of interstitial syndrome, consolidation, atelectasis and effusion.
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spelling pubmed-39993682014-04-25 Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae Kristensen, Michael S. Teoh, Wendy H. Graumann, Ole Laursen, Christian B. Insights Imaging Review OBJECTIVES: To create a state-of-the-art overview of the new and expanding role of ultrasonography in clinical decision-making, intervention and management of the upper and lower airways, that is clinically relevant, up-to-date and practically useful for clinicians. METHODS: This is a narrative review combined with a structured Medline literature search. RESULTS: Ultrasonography can be utilised to predict airway difficulty during induction of anaesthesia, evaluate if the stomach is empty or possesses gastric content that poses an aspiration risk, localise the essential cricothyroid membrane prior to difficult airway management, perform nerve blocks for awake intubation, confirm tracheal or oesophageal intubation and facilitate localisation of tracheal rings for tracheostomy. Ultrasonography is an excellent diagnostic tool in intraoperative and emergency diagnosis of pneumothorax. It also enables diagnosis and treatment of interstitial syndrome, lung consolidation, atelectasis, pleural effusion and differentiates causes of acute breathlessness during pregnancy. Patient safety can be enhanced by performing procedures under ultrasound guidance, e.g. thoracocentesis, vascular line access and help guide timing of removal of chest tubes by quantification of residual pneumothorax size. CONCLUSIONS: Ultrasonography used in conjunction with hands-on management of the upper and lower airways has multiple advantages. There is a rapidly growing body of evidence showing its benefits. TEACHING POINTS: • Ultrasonography is becoming essential in management of the upper and lower airways. • The tracheal structures can be identified by ultrasonography, even when unidentifiable by palpation. • Ultrasonography is the primary diagnostic approach in suspicion of intraoperative pneumothorax. • Point-of-care ultrasonography of the airways has a steep learning curve. • Lung ultrasonography allows treatment of interstitial syndrome, consolidation, atelectasis and effusion. Springer Berlin Heidelberg 2014-02-12 /pmc/articles/PMC3999368/ /pubmed/24519789 http://dx.doi.org/10.1007/s13244-014-0309-5 Text en © The Author(s) 2014 https://creativecommons.org/licenses/by/2.0/ Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Review
Kristensen, Michael S.
Teoh, Wendy H.
Graumann, Ole
Laursen, Christian B.
Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae
title Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae
title_full Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae
title_fullStr Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae
title_full_unstemmed Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae
title_short Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae
title_sort ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3999368/
https://www.ncbi.nlm.nih.gov/pubmed/24519789
http://dx.doi.org/10.1007/s13244-014-0309-5
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