Tags

Type your tag names separated by a space and hit enter

Airway ultrasound: Point of care in children-The time is now.
Paediatr Anaesth. 2020 03; 30(3):347-352.PA

Abstract

BACKGROUND

Point-of-care ultrasonography of the airway is becoming a first-line noninvasive adjunct assessment tool of the pediatric airway. It is defined as a focused and goal-directed portable ultrasonography brought to the patient and performed and interpreted on the spot by the provider. Successful use requires a thorough understanding of airway anatomy and ultrasound experience.

AIMS

To outline the many benefits, and some limitations, of airway ultrasonography in the clinical and perioperative setting.

MATERIALS AND METHODS

Expert review of the recent literature.

RESULTS

Ultrasound assessment of the airway may provide the clinician with valuable information that is specific to the individual airway static and dynamic anatomy of the patient. Ultrasound can help identify vocal cord dysfunction and pathology, assess airway size, predict the appropriate diameter of endotracheal and tracheostomy tubes, differentiate tracheal from esophageal intubation, localize the cricothyroid membrane for emergency airway access and identify tracheal rings for US-guided tracheostomy. Ultrasonography is also a great tool for the intraoperative diagnosis of a pneumothorax, the visualization of the movement of the diaphragms, and quantifying the amount of gastric content. Ultrasonography signs, tips, and pearls that allow these diagnoses are highlighted. The major disadvantage of ultrasonography remains interobserver variability, and operator dependence, as it requires specific training and experience.

CONCLUSION

Although it is not standard of care yet, there is significant potential for the integration of ultrasound technology into the routine care of the airway.

Authors+Show Affiliations

Department of Pediatric Surgery, Montreal Children's Hospital, McGill University, Montreal, QC, Canada. Department of Otolaryngology-Head and Neck Surgery, Montreal Children's Hospital, McGill University, Montreal, QC, Canada.Department of Anesthesiology, Montreal Children's Hospital, McGill University, Montreal, QC, Canada.Department of Pediatric Surgery, Montreal Children's Hospital, McGill University, Montreal, QC, Canada. Department of Otolaryngology-Head and Neck Surgery, Montreal Children's Hospital, McGill University, Montreal, QC, Canada.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31901216

Citation

Daniel, Sam J., et al. "Airway Ultrasound: Point of Care in children-The Time Is Now." Paediatric Anaesthesia, vol. 30, no. 3, 2020, pp. 347-352.
Daniel SJ, Bertolizio G, McHugh T. Airway ultrasound: Point of care in children-The time is now. Paediatr Anaesth. 2020;30(3):347-352.
Daniel, S. J., Bertolizio, G., & McHugh, T. (2020). Airway ultrasound: Point of care in children-The time is now. Paediatric Anaesthesia, 30(3), 347-352. https://doi.org/10.1111/pan.13823
Daniel SJ, Bertolizio G, McHugh T. Airway Ultrasound: Point of Care in children-The Time Is Now. Paediatr Anaesth. 2020;30(3):347-352. PubMed PMID: 31901216.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Airway ultrasound: Point of care in children-The time is now. AU - Daniel,Sam J, AU - Bertolizio,Gianluca, AU - McHugh,Tobial, Y1 - 2020/01/20/ PY - 2019/12/04/received PY - 2019/12/31/revised PY - 2020/01/02/accepted PY - 2020/1/5/pubmed PY - 2020/1/5/medline PY - 2020/1/5/entrez KW - airway KW - child KW - ultrasound SP - 347 EP - 352 JF - Paediatric anaesthesia JO - Paediatr Anaesth VL - 30 IS - 3 N2 - BACKGROUND: Point-of-care ultrasonography of the airway is becoming a first-line noninvasive adjunct assessment tool of the pediatric airway. It is defined as a focused and goal-directed portable ultrasonography brought to the patient and performed and interpreted on the spot by the provider. Successful use requires a thorough understanding of airway anatomy and ultrasound experience. AIMS: To outline the many benefits, and some limitations, of airway ultrasonography in the clinical and perioperative setting. MATERIALS AND METHODS: Expert review of the recent literature. RESULTS: Ultrasound assessment of the airway may provide the clinician with valuable information that is specific to the individual airway static and dynamic anatomy of the patient. Ultrasound can help identify vocal cord dysfunction and pathology, assess airway size, predict the appropriate diameter of endotracheal and tracheostomy tubes, differentiate tracheal from esophageal intubation, localize the cricothyroid membrane for emergency airway access and identify tracheal rings for US-guided tracheostomy. Ultrasonography is also a great tool for the intraoperative diagnosis of a pneumothorax, the visualization of the movement of the diaphragms, and quantifying the amount of gastric content. Ultrasonography signs, tips, and pearls that allow these diagnoses are highlighted. The major disadvantage of ultrasonography remains interobserver variability, and operator dependence, as it requires specific training and experience. CONCLUSION: Although it is not standard of care yet, there is significant potential for the integration of ultrasound technology into the routine care of the airway. SN - 1460-9592 UR - https://www.unboundmedicine.com/medline/citation/31901216/Airway_ultrasound:_Point_of_care_in_children-The_time_is_now L2 - https://doi.org/10.1111/pan.13823 DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.