Accuracy of cricothyroid membrane identification using ultrasound and palpation techniques in obese obstetric patients: an observational study

Lavelle, Aoife; Drew, T.; Fennessy, Paul; McCaul, Conan; Shannon, James A.

doi:10.1016/j.ijoa.2021.103205

Cited by 11 publications

(3 citation statements)

References 35 publications

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“…Als sicherer Nachweis der endotrachealen Tubuslage darf POCUS nur ergänzend zur obligaten Kapnografie eingesetzt werden, d. h. die fokussierte Sonografie der Atemwege darf die obligate Kapnografie nicht ersetzen. Ebenfalls könnte die Sonografie künftig im Rahmen der Notfallkoniotomie zur Lokalisation der Krikothyroid-Membran zum Einsatz kommen 52 , 53 .…”

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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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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“…Among clinicians without prior airway ultrasound experience, this has been shown to remain accurate with minimal training and has a high retention rate [84,92,93]. Moreover, this can be performed in less than 30 seconds across multiple patient populations, including pediatric and obese patients, and takes a comparable amount of time compared to the landmark-based approach [83,94,95].…”

Section: Identifying the Cricothyroid Membranementioning

confidence: 99%

Point-of-care ultrasound for airway management in the emergency and critical care setting

Gottlieb,

O’Brien,

Ferrigno

et al. 2023

Clin Exp Emerg Med

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Airway management is a common procedure within emergency and critical care medicine. Traditional techniques for predicting and managing a difficult airway each have important limitations. As the field has evolved, point-of-care ultrasound has been increasingly utilized for this application. Several measures can be used to sonographically predict a difficult airway, including skin to epiglottis, hyomental distance, and tongue thickness. Ultrasound can also be used to confirm endotracheal tube intubation and assess endotracheal tube depth. Ultrasound is superior to the landmark-based approach for locating the cricothyroid membrane, particularly in patients with difficult anatomy. Finally, we provide an algorithm for using ultrasound to manage the crashing patient on mechanical ventilation. After reading this article, readers will have an enhanced understanding of the role of ultrasound in airway management.

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“…In situations of obesity, neck swelling, or trauma, identification may be complicated. A recent study showed that utilizing neck ultrasound helped identify the cricothyroid membrane (CTM) in obese patients more readily than the traditional palpation technique [ 49 ]. The authors recognized that the use of ultrasound did take longer than the landmark technique (23.5 s vs. 16.9 s, p < 0.001).…”

Section: Airway Pocusmentioning

confidence: 99%

Point-of-Care Ultrasound for the Trauma Anesthesiologist

Heinz

Vincent

2022

Curr Anesthesiol Rep

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Purpose of Review With advances in technology and availability of handheld ultrasound probes, studies are focusing on the perioperative care of patients, but a limited number specifically on trauma patients. This review highlights recent findings from studies using point of care ultrasound (POCUS) to improve the care of trauma patients. Recent Findings Major findings include the use of POCUS to assess volume status of trauma patients upon arrival to measure the major vasculature. Additionally, several studies have advanced the use of POCUS to identify pneumothorax in trauma patients. Finally, the ASA POCUS certification and ASRA expert guidelines are examples of international organizations establishing guidelines for utilization and training of anesthesiologists in the field of POCUS, which will be discussed. Summary Despite the COVID-19 pandemic, and considerable resources being diverted to fight this global healthcare crisis, advances are being made in utilization of POCUS to aid the care of trauma patients.

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Accuracy of cricothyroid membrane identification using ultrasound and palpation techniques in obese obstetric patients: an observational study

Cited by 11 publications

References 35 publications

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

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

Point-of-care ultrasound for airway management in the emergency and critical care setting

Point-of-Care Ultrasound for the Trauma Anesthesiologist

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