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