Role of Point-of-Care Ultrasound in Emergency Airway Management Outside the Operating Room

Author:

Khorsand Sarah1,Chin Jeanette1,Rice Jake1,Bughrara Nibras2,Myatra Sheila N.3,Karamchandani Kunal1

Affiliation:

1. Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas

2. Department of Anesthesiology and Critical Care Medicine, Albany Medical College, Albany, New York

3. Department of Anesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi-Bhabha National Institute, Mumbai, India.

Abstract

Tracheal intubation is one of the most frequently performed procedures in critically ill patients, and is associated with significant morbidity and mortality. Hemodynamic instability and cardiovascular collapse are common complications associated with the procedure, and are likely in patients with a physiologically difficult airway. Bedside point-of-care ultrasound (POCUS) can help identify patients with high risk of cardiovascular collapse, provide opportunity for hemodynamic and respiratory optimization, and help tailor airway management plans to meet individual patient needs. This review discusses the role of POCUS in emergency airway management, provides an algorithm to facilitate its incorporation into existing practice, and provides a framework for future studies.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Anesthesiology and Pain Medicine

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