Novel role of focused airway ultrasound in early airway assessment of suspected laryngeal trauma

Study Design Systematic review of the literature. Objective The goal of this study is to review the current literature on the trends in management of laryngeal fractures following trauma. Methods Independent searches of the PubMed and MEDLINE databases were performed. Articles from the period of 1963 to 2020 were collected. All studies which described laryngeal fractures using the Boolean method and relevant search term combinations, including “Laryngeal”, “Fracture”, “Operative”, and “Management” were collected. Results A total of 588 relevant unique articles were identified for analysis. Of these, 24 articles were deemed appropriate for inclusion in the literature review. Due to variability in study design and outcome measures, formal synthesis of data in the form of a meta-analysis was not possible. Conclusions Laryngeal fractures are rare traumatic injuries that require early identification and evaluation with complex management options. This comprehensive review aims to highlight the breadth of the topic with regard to presentation and clinical management. Though there remains no clear best practice for laryngeal fracture management, we review trends in clinical practice throughout the literature.

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“…Focused airway ultrasound has been suggested to play a role in the diagnosis of laryngeal fracture, while expediting the process. 15…”

Section: Discussionmentioning

confidence: 99%

Systematic Review of Laryngeal Fractures and Trends in Operative Management

Moroco

Patel

Saadi

et al. 2022

Craniomaxillofacial Trauma & Reconstruction

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“…In patients with increased neck soft tissue or obesity, a lower‐frequency transducer may be used, which provides better penetration, to improve image quality 9 . In addition, in trauma patients, ultrasound can detect upper airway injuries secondary to blunt neck trauma which can lead to upper airway obstruction 19,20 …”

Section: Methodsmentioning

confidence: 99%

“…9 In addition, in trauma patients, ultrasound can detect upper airway injuries secondary to blunt neck trauma which can lead to upper airway obstruction. 19,20 The use of ultrasound for intubation requires a relatively simple and brief training, 4,9,11 so that it can be approachable for any intensivist. For instance, Chenkin et al used online training plus two real attempts, all physicians were able to distinguish between endotracheal and esophageal intubation.…”

Section: Intubationmentioning

confidence: 99%

Airway Ultrasound in Critically Ill Patients: A Narrative Review

Diaz-Tormo

Rodriguez-Martínez

Galarza

2021

J of Ultrasound Medicine

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Airway assessment and management have a central role in critical care medicine. Airway ultrasound can help us evaluate the anatomy, facilitate interventions such as intubation in difficult airways and tracheostomy, prevent post-extubation complications, and diagnose dysphagia. In this review, we will summarize the current use of ultrasound in airway assessment and management in critically ill patients.

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“…US visualization of upper airway structures and their abnormalities is a recent role of the POCUS application. Cases of laryngeal ACE-I-induced larynx edema [11] and trauma affecting the larynx have been approached with US to assess the extent of damage [12].…”

Section: Upper Airways Damage Identification and Proceduresmentioning

confidence: 99%

The Role of Pocus in Acute Respiratory Failure: A Narrative Review on Airway and Breathing Assessment

Sartini,

Ferrari,

Cutuli

et al. 2024

JCM

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Acute respiratory failure (ARF) is a challenging condition that clinicians, especially in emergency settings, have to face frequently. Especially in emergency settings, many underlying diseases can lead to ARF and life-threatening conditions have to be promptly assessed and correctly treated to avoid unfavorable outcomes. In recent years, point-of-care ultrasound (POCUS) gained growing consideration due to its bedside utilization, reliability and reproducibility even in emergency settings especially in unstable patients. Research on POCUS application to assess ARF has been largely reported mainly with observational studies showing heterogeneous results from many different applications. This narrative review describes the wide potentiality of POCUS to face airways and breathing life-threatening conditions such as upper airway management, pulmonary and pleural pathologies and diaphragm impairment. We conducted extensive research of the literature to report from major studies to case reports deemed useful in practical clinical utilization of POCUS in ARF. Due to the huge amount of the literature found, we focused on airways and breathing assessment trying to systematize the evidence according to clinical care of ARF in emergency settings. Further studies, possibly trials, should determine how POCUS is crucial in clinical practice in terms of standard of care improvements, patient safety and cost-benefit analysis.

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Novel role of focused airway ultrasound in early airway assessment of suspected laryngeal trauma

Cited by 10 publications

References 19 publications

Systematic Review of Laryngeal Fractures and Trends in Operative Management

Systematic Review of Laryngeal Fractures and Trends in Operative Management

Airway Ultrasound in Critically Ill Patients: A Narrative Review

The Role of Pocus in Acute Respiratory Failure: A Narrative Review on Airway and Breathing Assessment

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