10. POCUS for Airway Management - Dr. Fabricio Zasso
Channel: TGH Advanced Perioperative Imaging Lab
Date: 25/12/2022

Objectives
1. Describe the essential role of POCUS in airway management
2. Recognize key findings during airway assessment using POCUS
3. Identify the basic description of the ultrasonography of the airway

References
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Kupeli I, Nalbant RA. Comparison of 3 techniques in percutaneous tracheostomy: Traditional landmark technique; ultrasonography-guided long-axis approach; and short-axis approach - Randomised controlled study. Anaesth Crit Care Pain Med. 2018;37: 533–538. https://doi.org/10.1016/j.accpm.2017.11.011
Yavuz et al. Advantages of US in percutaneous dilatational tracheostomy: randomized controlled trial and review of the literature. Radiology. 2014;273: 927–936. https://doi.org/10.1148/radiol.14140088
Plata P, Gaszyński T. Ultrasound-guided percutaneous tracheostomy. Anaesthesiol Intensive Ther. 2019;51: 126–132. https://doi.org/10.5114/ait.2019.86277
Gottlieb et al.. Ultrasonography for the Confirmation of Endotracheal Tube Intubation: A Systematic Review and Meta-Analysis. Ann Emerg Med. 2018;72: 627–636. https://doi.org/10.1016/j.annemergmed.2018.06.024
Sahu et al. Endotracheal Tube Placement Confirmation by Ultrasonography: A Systematic Review and Meta-Analysis of more than 2500 Patients. J Emerg Med. 2020;59: 254–264. https://doi.org/10.1016/j.jemermed.2020.04.040
Das et al.Transtracheal ultrasound for verification of endotracheal tube placement: a systematic review and meta-analysis. Can J Anaesth. 2015;62: 413–423. https://doi.org/10.1007/s12630-014-0301-z
You-Ten et al. Point-of-care ultrasound (POCUS) of the upper airway. Can J Anaesth. 2018;65: 473–484. https://doi.org/10.1007/s12630-018-1064-8
You-Ten et al. Accuracy of conventional digital palpation and ultrasound of the cricothyroid membrane in obese women in labour. Anaesthesia. 2015;70: 1230–1234. https://doi.org/10.1111/anae.13167
Sorbello et al. Time to include ultrasounds in pre-procedural airway evaluation? Trends in Anaesthesia and Critical Care. 2021;38: 1–3. https://doi.org/10.1016/j.tacc.2021.02.006
Siddiqui et al. Ultrasound Is Superior to Palpation in Identifying the Cricothyroid Membrane in Subjects with Poorly Defined Neck Landmarks: A Randomized Clinical Trial. Anesthesiology. 2018;129: 1132–1139. https://doi.org/10.1097/ALN.0000000000002454
Siddiqui et al. Ultrasound Improves Cricothyrotomy Success in Cadavers with Poorly Defined Neck Anatomy: A Randomized Control Trial. Anesthesiology. 2015;123: 1033–1041. https://doi.org/10.1097/ALN.0000000000000848
Oliveira et al. Determining the amount of training needed for competency of anesthesia trainees in ultrasonographic identification of the cricothyroid membrane. BMC Anesthesiol. 2017;17: 74. https://doi.org/10.1186/s12871-017-0366-7
Nicholls et al. Bedside sonography by emergency physicians for the rapid identification of landmarks relevant to cricothyrotomy. Am J Emerg Med. 2008;26: 852–856. https://doi.org/10.1016/j.ajem.2007.11.022
Lavelle et al. Accuracy of cricothyroid membrane identification using ultrasound and palpation techniques in obese obstetric patients: an observational study. Int J Obstet Anesth. 2021;48: 103205. https://doi.org/10.1016/j.ijoa.2021.103205
Kristensen et al.. Ultrasonographic identification of the cricothyroid membrane: best evidence, techniques, and clinical impact. Br J Anaesth. 2016;117 Suppl 1: i39–i48. https://doi.org/10.1093/bja/aew176
Kristensen et al. Ultrasonographic identification of the cricothyroid membrane: best evidence, techniques, and clinical impact. Br J Anaesth. 2016;117 Suppl 1: i39–i48. https://doi.org/10.1093/bja/aew176
Kristensen et al. A randomised cross-over comparison of the transverse and longitudinal techniques for ultrasound-guided identification of the cricothyroid membrane in morbidly obese subjects. Anaesthesia. 2016;71: 675–683. https://doi.org/10.1111/anae.13465
Hiller et al. Comparing success rates of anesthesia providers versus trauma surgeons in their use of palpation to identify the cricothyroid membrane in female subjects: a prospective observational study. Can J Anaesth. 2016;63: 807–817. https://doi.org/10.1007/s12630-016-0647-5
Frerk et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth. 2015;115: 827–848. https://doi.org/10.1093/bja/aev371
Bair AE, Chima R. The inaccuracy of using landmark techniques for cricothyroid membrane identification: a comparison of three techniques. Acad Emerg Med. 2015;22: 908–914. https://doi.org/10.1111/acem.12732

Copyright Dr. Fabricio Zasso
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