Lung ultrasound associated to capnography to verify correct endotracheal tube positioning in prehospital

Brun, Pierre-Marie; Bessereau, Jacques; Cazes, Nicolas; Querellou, Emgan; Chenaitia, Hichem

doi:10.1016/j.ajem.2011.10.023

Cited by 21 publications

(14 citation statements)

References 5 publications

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“…Another new diagnostic application of prehospital ultrasound consists of confirming endotracheal tube (ETT) placement through detection of the lung sliding sign [24]. Advanced airway management using ETT placement is commonly performed in EMS systems that employ ALS providers (paramedics) or physicians.…”

Section: Clinical Applications Of Prehospital Ultrasoundmentioning

confidence: 99%

“…Ultrasound offers prehospital providers an alternative method for ETT confirmation for recognizing tube displacement or differentiating between main tracheal intubation and right mainstem intubation. This technique is, however, operator dependent and is limited in the setting of pneumothorax or subcutaneous emphysema [24]. …”

Section: Clinical Applications Of Prehospital Ultrasoundmentioning

confidence: 99%

See 1 more Smart Citation

Prehospital Emergency Ultrasound: A Review of Current Clinical Applications, Challenges, and Future Implications

Sayed

Zaghrini

2013

Emergency Medicine International

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Imaging modalities in the prehospital setting are helpful in the evaluation and management of time-sensitive emergency conditions. Ultrasound is the main modality that has been applied by emergency medical services (EMS) providers in the field. This paper examines the clinical applications of ultrasound in the prehospital setting. Specific focus is on applications that provide essential information to guide triage and management of critical patients. Challenges of this modality are also described in terms of cost impact on EMS agencies, provider training, and skill maintenance in addition to challenges related to the technical aspect of ultrasound.

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Section: Clinical Applications Of Prehospital Ultrasoundmentioning

confidence: 99%

Section: Clinical Applications Of Prehospital Ultrasoundmentioning

confidence: 99%

Prehospital Emergency Ultrasound: A Review of Current Clinical Applications, Challenges, and Future Implications

Sayed

Zaghrini

2013

Emergency Medicine International

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“…Many studies of LUS in the pre-hospital setting exist [204–206] and display similar ability to diagnose IS, confirm or negate pulmonary oedema and verify endotracheal tube placement [204–206]. The ease of which portable ultrasound machines can be carried almost anywhere allows LUS to be used as a unique assessment tool in respiratory emergencies both at sea, mountainous terrain and even in outer space [114, 116, 207–209].…”

Section: Resultsmentioning

confidence: 99%

Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae

et al. 2014

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ObjectivesTo create a state-of-the-art overview of the new and expanding role of ultrasonography in clinical decision-making, intervention and management of the upper and lower airways, that is clinically relevant, up-to-date and practically useful for clinicians.MethodsThis is a narrative review combined with a structured Medline literature search.ResultsUltrasonography can be utilised to predict airway difficulty during induction of anaesthesia, evaluate if the stomach is empty or possesses gastric content that poses an aspiration risk, localise the essential cricothyroid membrane prior to difficult airway management, perform nerve blocks for awake intubation, confirm tracheal or oesophageal intubation and facilitate localisation of tracheal rings for tracheostomy. Ultrasonography is an excellent diagnostic tool in intraoperative and emergency diagnosis of pneumothorax. It also enables diagnosis and treatment of interstitial syndrome, lung consolidation, atelectasis, pleural effusion and differentiates causes of acute breathlessness during pregnancy. Patient safety can be enhanced by performing procedures under ultrasound guidance, e.g. thoracocentesis, vascular line access and help guide timing of removal of chest tubes by quantification of residual pneumothorax size.ConclusionsUltrasonography used in conjunction with hands-on management of the upper and lower airways has multiple advantages. There is a rapidly growing body of evidence showing its benefits.Teaching Points• Ultrasonography is becoming essential in management of the upper and lower airways.• The tracheal structures can be identified by ultrasonography, even when unidentifiable by palpation.• Ultrasonography is the primary diagnostic approach in suspicion of intraoperative pneumothorax.• Point-of-care ultrasonography of the airways has a steep learning curve.• Lung ultrasonography allows treatment of interstitial syndrome, consolidation, atelectasis and effusion.

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“…Existen varias técnicas ultrasonográficas que se han reportado para la detección de una adecuada intubación, las cuales pueden ser directas, con visualización transversal o longitudinal en el cuello, o indirectas, visualizando la ventilación pulmonar o el movimiento diafragmático; estas a su vez pueden ser evaluadas de acuerdo a la temporalidad del evento, es decir, cuando se realiza la intubación o posterior a ella [9][10][11][12][13] .…”

Section: Verificación De Intubación Traquealunclassified

El uso del ultrasonido en el manejo de la vía aérea

Zamudio

Casas-Arroyave

2015

Revista Colombiana de Anestesiología

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Cómo citar este artículo: Zamudio Burbano MA, Casas Arroyave FD. El uso del ultrasonido en el manejo de la vía aérea. Rev Colomb Anestesiol. 2015. http://dx.información del artículo Historia del artículo: Recibido el 1 de noviembre de 2014 Aceptado el 24 de marzo de 2015 On-line el xxx Palabras clave: Ultrasonografía Manejo de la vía aérea Intubación Epiglotis Anestesia r e s u m e nLa ecografía como herramienta diagnóstica y terapéutica ha tenido un gran impacto en el quehacer rutinario del anestesiólogo en múltiples áreas de aplicación práctica. Sin embargo, es hasta hace poco que han aparecido en la literatura reportes de su uso en situaciones que involucran el manejo de la vía área del paciente en cirugía y unidades de cuidados intensivos. Al ser esta una herramienta portable, fácil de usar, no invasiva y sin necesidad de energía ionizante, la hace altamente atractiva al momento de resolver preguntas prácticas del anestesiólogo que se ve enfrentado a una vía área difícil. Justamente el objetivo de esta revisión fue mostrar desde la literatura cuáles son los potenciales usos de los ecografía en el manejo de la vía área.Hasta el momento los estudios muestran suficientes elementos para recomendar su uso en los siguientes situaciones: identificación de estructuras anatómicas en la vía área; detección estática de intubación fallida o esofágica; mediciones dinámicas de la vía área y determinación del tamaño de tubos endotraqueales; predictores de vía área difícil en pacientes con cuello desfavorable, y técnicas transtraqueales para aseguramiento de la vía área.A pesar de ello, aún se requieren mayores estudios con suficiente calidad metodológica en donde se demuestre que el uso de la ecografía sí puede llegar a impactar en el manejo de la vía área difícil y en la morbimortalidad generada por esta entidad.

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Lung ultrasound associated to capnography to verify correct endotracheal tube positioning in prehospital

Cited by 21 publications

References 5 publications

Prehospital Emergency Ultrasound: A Review of Current Clinical Applications, Challenges, and Future Implications

Prehospital Emergency Ultrasound: A Review of Current Clinical Applications, Challenges, and Future Implications

Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae

El uso del ultrasonido en el manejo de la vía aérea

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