Usage of airway ultrasound as an assessment and prediction tool of a difficult airway management

Adi, Osman; Fong, Chan Pei; Sum, Kok Meng; Ahmad, Azma Haryaty

doi:10.1016/j.ajem.2020.09.011

Cited by 16 publications

(8 citation statements)

References 18 publications

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“…In 2016, we reported a patient with a difficult airway due to an undiagnosed subglottic tumor, which could have been identified with airway ultrasound[ 26 ]. Recently, Adi et al [ 27 ] reported the use of airway ultrasound to diagnose a mass lesion in the glottis which resulted in airway narrowing. If one suspects airway stenosis, we recommend airway ultrasound to observe the vocal cords as the first step.…”

Section: Does Observation Of the Vocal Cords Fail To Predict An Airwa...mentioning

confidence: 99%

Airway ultrasound for patients anticipated to have a difficult airway: Perspective for personalized medicine

Nakazawa¹,

Uzawa²,

Tokumine³

et al. 2023

World J Clin Cases

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Airway ultrasound allows for precise airway evaluation, particularly for assessing the difficult airway and the potential for front of neck access. Many studies have shown that identification of the cricothyroid membrane by airway ultrasound is more accurate than digital palpation. However, no reports to date have provided clinical evidence that ultrasound identification of the cricothyroid membrane increases the success rate of cricothyroidotomy. This is a narrative review which describes patients with difficult airways for whom airway ultrasound may have been useful for clinical decision making. The role of airway ultrasound for the evaluation of difficult airways is summarized and an approach to the use of ultrasound for airway management is proposed. The goal of this review is to present practical applications of airway ultrasound for patients predicted to have a difficult airway and who undergo cricothyroidotomy.

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Section: Does Observation Of the Vocal Cords Fail To Predict An Airwa...mentioning

confidence: 99%

Airway ultrasound for patients anticipated to have a difficult airway: Perspective for personalized medicine

Nakazawa¹,

Uzawa²,

Tokumine³

et al. 2023

World J Clin Cases

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“…Im Rahmen des prähospitalen Atemwegsmanagements kann die fokussierte Sonografie zum Nachweis bzw. zum Ausschluss einer ösophagealen Fehlintubation oder im Rahmen einer Notfallkoniotomie herangezogen werden 54 , 55 . Angesichts fehlender Evidenz ist die Sonografie im Atemwegsmanagement aktuell nur als fakultativer Bestandteil der prähospitalen Notfallsonografie zu bewerten.…”

Section: Ausbildungskonzept Für Die Prähospitale Notfallsonografieunclassified

Empfehlungen zur Sonografieausbildung in der prähospitalen Notfallmedizin (pPOCUS): Konsensuspapier von DGINA, DGAI, BAND, BV-ÄLRD, DGU, DIVI und DGIIN

Michels,

Greim,

Krohn

et al. 2023

NOTARZT

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ZusammenfassungDie Point-of-Care-Sonografie ist in der Akut- und Notfallmedizin ein fester Bestandteil der Diagnostik und Therapieeinleitung von kritisch kranken und verletzten Patienten. Während die Notfallsonografie im Rahmen der Zusatzweiterbildung für klinische Akut- und Notfallmedizin vorausgesetzt wird, wird diese für die prähospitale Notfallmedizin lediglich im (Muster-)Kursbuch Allgemeine und spezielle Notfallbehandlung als Weiterbildungsinhalt definiert. Obwohl einige Fachgesellschaften in Deutschland bereits eigene Lernkonzepte für die Notfallsonografie etabliert haben, fehlt bis dato ein einheitliches nationales Ausbildungskonzept für den Einsatz der Notfallsonografie im prähospitalem Umfeld. Experten mehrerer Fachgesellschaften haben daher als Empfehlung für die notfallmedizinische Weiterbildung ein Kurskonzept für die spezielle Ausbildung in der prähospitalen Notfallsonografie erarbeitet, welche gleichermaßen zu deren Qualitätssicherung beitragen soll.

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“…Some of these predictors have exhibited suboptimal performance when used alone. Combination of different indexes yields better diagnostic accuracy; however, an index predictor with consistent clinically reliable performance in terms of specificity and sensitivity is still lacking (Vannucci and Cavallone 2015 ; Joffe et al 2019 ; Shah and Sundaram 2012 ; Adi et al 2021 ). Hence, clinicians from different disciplines are embarking in a continuous search for newer and better predictors for airway difficulty assessment (Adi et al 2021 ; Agarwal et al 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Comparison of two 3D scanning software to identify facial features: a prospective instrument to predict difficult airway

Rocuts,

Avella-Molano,

Behr

et al. 2024

Perioper Med

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Background Clinical airway assessment has limited predictive ability to anticipate difficult airway. Three-dimensional (3D) technologies have emerged in medicine as valuable tools in different settings including innovation and surgical planning. Three-dimensional facial scanning could add value to clinical measurements and two-dimensional models to assess the airway. However, commonly used high-fidelity scans are expensive. This study aims to compare the accuracy of the measurements made by the Scandy Pro app as a cost-effective alternative to high-fidelity scans made by the Artec Space Spider. We also aim to evaluate the interobserver variability for the measurements performed with Scandy Pro. Materials and methods We conducted a cross-sectional, comparison study on 10 healthy volunteers. Four observers measured 720 distances and 400 using both Scandy Pro and Artec Space Spider facial scans. Wilcoxon test was used for group–group comparison. Results Comparison of both instruments showed no difference in angle or distance measurements. The percentage error (measurement difference between the two devices) exhibited by one of the observers was significantly different compared with the other three observers; however, the magnitude of this individual deviation did not affect the overall percentage error. The overall error for Scandy Pro was 5.5% (3.9% and 6.7% for angles and distances, respectively). Conclusion Three-dimensional facial scanning with Scandy Pro is an accurate tool that can be a cost-effective alternative to high-fidelity scans produced by the Artec Space Spider.

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Usage of airway ultrasound as an assessment and prediction tool of a difficult airway management

Cited by 16 publications

References 18 publications

Airway ultrasound for patients anticipated to have a difficult airway: Perspective for personalized medicine

Airway ultrasound for patients anticipated to have a difficult airway: Perspective for personalized medicine

Empfehlungen zur Sonografieausbildung in der prähospitalen Notfallmedizin (pPOCUS): Konsensuspapier von DGINA, DGAI, BAND, BV-ÄLRD, DGU, DIVI und DGIIN

Comparison of two 3D scanning software to identify facial features: a prospective instrument to predict difficult airway

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