ultrasound 

<assisted> 

Procedures

wilma chan, md

03.18.2014
brigham & women's hospital
dept of emergency medicine // division of emergency ultrasound

airway 

LUMBAR PUNCTURE 

THOracentesis 

paracentesis

arthrocentesis 

subclavian central line

airway


before

during

after

Airway


<before> surgical airway preparation

<during> endotracheal intubation

<after> post-tube placement

AIRWAYSURGICAL PREP


[probe] linear
[preset] superficial
[parts] anterior neck
[position] mid-sagittal
[picture] cricoid & thyroid cartilage


AIRWAYSURGICAL PREP









Kristensen MS. Ultrasonography in the management of the airway. Acta Anaesthesiol Scand. 2011 Nov;55(10):1155-73.

AIRWAYSURGICAL PREP???


AIRWAYSURGICAL PREP


Aslani A et al. Accuracy of identification of the cricothyroid membrane in female subjects using palpation: An observational study. Anesth Analg 2012 May; 114:987.

AIRWAYSURGICAL PREP


Elliott DS, Baker PA, Scott MR, Birch CW, Thompson JM. Accuracy of surface landmark identification for cannula cricothyroidotomy. 

Anaesthesia 2010; 65: 889–94.


AIRWAYSURGICAL PREP


anticipate your difficult airway 

identify CTM from cartilage borders

mark your site 


AIRWAYSURGICAL PREP


airwaYintubation


[probe] linear
[preset] superficial
[parts] suprasternal
[position] transverse
[picture] tracheal ring

AIRWAYintubation











Kristensen MS. Ultrasonography in the management of the airway. Acta Anaesthesiol Scand. 2011 Nov;55(10):1155-73.

AIRWAYINTUBATION


indirect confirmation

MUST be real-time observation

use other modalities to corroborate



AIRWAYINTUBATION

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By wilma chan

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#ultrasound, #procedures, #emergencymedicine

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