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

Khorsand, Sarah; Chin, Jeanette L.; Rice, Jake A; Bughrara, Nibras; Myatra, Sheila Nainan; Karamchandani, Kunal

doi:10.1213/ane.0000000000006371

Cited by 6 publications

(2 citation statements)

References 92 publications

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“…Preoxygenation and/or apneic oxygenation may be used to ensure adequate apnea time and prevent hypoxemia-related complications. Bedside POCUS may be used to identify patients with high risk of cardiovascular collapse during airway management and provide opportunity for hemodynamic as well as respiratory optimization in out-of-operating room scenarios [17 ▪ ]. Waveform capnography is considered the gold standard for early detection of esophageal intubation, and should be available at all locations where general anesthesia is likely to be administered [18 ▪▪ ].…”

Section: Airway-related Challenges and Complicationsmentioning

confidence: 99%

Management of anesthetic complications outside the operating room

Hardman¹,

Karamchandani

2023

Current Opinion in Anaesthesiology

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Purpose of review Nonoperating room anesthesia (NORA) procedures have seen a significant growth over the years along with an increase in the complexity and severity of cases. Providing anesthesia care in these often-unfamiliar locations is risky, and complications are common. This review aims to report the most recent updates regarding managing anesthesia-related complications in patients undergoing procedures in non-operating room locations. Recent findings Surgical innovations, advent of new technology, and the economics of a healthcare environment that strives to improve value by decreasing costs, has expanded the indications for and complexity of NORA cases. In addition, an aging population with increasing comorbidity burden, requirements for deeper levels of sedation have all increased the risk of complications in NORA environments. In such a situation, improvement in monitoring and oxygen delivery techniques, better ergonomics of NORA sites and development of multidisciplinary contingency plans are likely to improve our management of anesthesia-related complications. Summary Delivery of anesthesia care in out-of-operating room locations is associated with significant challenges. Meticulous planning, close communication with the procedural team, establishing protocols and pathways for help, along with interdisciplinary teamwork can facilitate safe, efficient, and cost-effective procedural care in the NORA suite.

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Section: Airway-related Challenges and Complicationsmentioning

confidence: 99%

Management of anesthetic complications outside the operating room

Hardman¹,

Karamchandani

2023

Current Opinion in Anaesthesiology

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“…Airway POCUS can be utilized in airway assessment and management, an essential skill in anesthetic practice. Predicting a difficult airway, confirming endotracheal intubation, guidance for airway nerve blocks and cricothyrotomy are some of the common applications of airway POCUS [17 ▪ ,18].…”

Section: Airway Pocusmentioning

confidence: 99%

HOCUS POCUS: ultrasound beyond regional anesthesia in the ambulatory setting

Arumugam,

Siddaiah,

Kalagara

2023

Current Opinion in Anaesthesiology

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Purpose of review Application of ultrasound in clinical anesthesia practice extends beyond regional anesthesia. In this review, we have discussed other point of care applications of ultrasound in perioperative care and anesthetic management with special emphasis on ambulatory practice. Recent findings Point of care ultrasound (POCUS) for anesthesiologists has gained widespread interest and popularity. Recent literature has highlighted multiple perioperative POCUS applications on various organ systems and its benefits. We have analyzed the recent available data and evidence for perioperative POCUS, its benefits and limitations in perioperative medicine. Summary Perioperative POCUS skill is a natural extension of ultrasound guided regional anesthesia. Utilizing POCUS in the perioperative period would accelerate the level of appropriate care, safety and improve outcomes in ambulatory centers. More anesthesiologists embracing POCUS would enhance patient care in a timely fashion at the ambulatory centers. POCUS in ambulatory practice can be valuable in avoiding delay or cancellation of surgeries and improving patient satisfaction.

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Guía de la Sociedad Española De Anestesiología, Reanimación y Terapéutica del Dolor (SEDAR), Sociedad Española de Medicina de Urgencias y Emergencias (SEMES) y Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello (SEORL-CCC) para el manejo de la vía aérea difícil. Parte I

Gómez-Ríos,

Sastre,

Onrubia-Fuertes

et al. 2024

Revista Española de Anestesiología y Reanimación

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

Cited by 6 publications

References 92 publications

Management of anesthetic complications outside the operating room

Management of anesthetic complications outside the operating room

HOCUS POCUS: ultrasound beyond regional anesthesia in the ambulatory setting

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