Ultrasound-guided identification of the cricothyroid membrane in a patient with a difficult airway: a case report

BACKGROUND: Surgical cricothyroidotomy is considered to be the last resort for management of the difficult airway. A major point for a successful surgical cricothyroidotomy is to identify the location of the cricothyroid membrane. CASE PRESENTATION: We encountered a patient with progressive respirat...

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Autores principales: Okano, Hiromu, Uzawa, Kohji, Watanabe, Kunitaro, Motoyasu, Akira, Tokumine, Joho, Lefor, Alan Kawarai, Yorozu, Tomoko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806288/
https://www.ncbi.nlm.nih.gov/pubmed/29422029
http://dx.doi.org/10.1186/s12873-018-0156-7
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author Okano, Hiromu
Uzawa, Kohji
Watanabe, Kunitaro
Motoyasu, Akira
Tokumine, Joho
Lefor, Alan Kawarai
Yorozu, Tomoko
author_facet Okano, Hiromu
Uzawa, Kohji
Watanabe, Kunitaro
Motoyasu, Akira
Tokumine, Joho
Lefor, Alan Kawarai
Yorozu, Tomoko
author_sort Okano, Hiromu
collection PubMed
description BACKGROUND: Surgical cricothyroidotomy is considered to be the last resort for management of the difficult airway. A major point for a successful surgical cricothyroidotomy is to identify the location of the cricothyroid membrane. CASE PRESENTATION: We encountered a patient with progressive respiratory distress who was anticipated to have a difficult airway due to a large neck abscess. We prepared for both awake intubation and surgical cricothyroidotomy. The cricothyroid membrane could not be identified by palpation, but was readily identified using ultrasound. CONCLUSION: Ultrasound-guided identification of the cricothyroid membrane may be useful in a patient with a difficult airway due to neck swelling.
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spelling pubmed-58062882018-02-15 Ultrasound-guided identification of the cricothyroid membrane in a patient with a difficult airway: a case report Okano, Hiromu Uzawa, Kohji Watanabe, Kunitaro Motoyasu, Akira Tokumine, Joho Lefor, Alan Kawarai Yorozu, Tomoko BMC Emerg Med Case Report BACKGROUND: Surgical cricothyroidotomy is considered to be the last resort for management of the difficult airway. A major point for a successful surgical cricothyroidotomy is to identify the location of the cricothyroid membrane. CASE PRESENTATION: We encountered a patient with progressive respiratory distress who was anticipated to have a difficult airway due to a large neck abscess. We prepared for both awake intubation and surgical cricothyroidotomy. The cricothyroid membrane could not be identified by palpation, but was readily identified using ultrasound. CONCLUSION: Ultrasound-guided identification of the cricothyroid membrane may be useful in a patient with a difficult airway due to neck swelling. BioMed Central 2018-02-08 /pmc/articles/PMC5806288/ /pubmed/29422029 http://dx.doi.org/10.1186/s12873-018-0156-7 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Okano, Hiromu
Uzawa, Kohji
Watanabe, Kunitaro
Motoyasu, Akira
Tokumine, Joho
Lefor, Alan Kawarai
Yorozu, Tomoko
Ultrasound-guided identification of the cricothyroid membrane in a patient with a difficult airway: a case report
title Ultrasound-guided identification of the cricothyroid membrane in a patient with a difficult airway: a case report
title_full Ultrasound-guided identification of the cricothyroid membrane in a patient with a difficult airway: a case report
title_fullStr Ultrasound-guided identification of the cricothyroid membrane in a patient with a difficult airway: a case report
title_full_unstemmed Ultrasound-guided identification of the cricothyroid membrane in a patient with a difficult airway: a case report
title_short Ultrasound-guided identification of the cricothyroid membrane in a patient with a difficult airway: a case report
title_sort ultrasound-guided identification of the cricothyroid membrane in a patient with a difficult airway: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806288/
https://www.ncbi.nlm.nih.gov/pubmed/29422029
http://dx.doi.org/10.1186/s12873-018-0156-7
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