Predicting laryngeal edema in intubated patients by portable intensive care unit ultrasound

Sutherasan, Yuda; Theerawit, Pongdhep; Hongphanut, Tanasit; Kiatboonsri, Charn; Kiatboonsri, Sumalee

doi:10.1016/j.jcrc.2013.05.011

Cited by 55 publications

(61 citation statements)

References 20 publications

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“…Hand‐carried ultrasound was successfully used to confirm the position of an endotracheal tube in neonates in a rural hospital India, with the potential to obviate the need for radiographic confirmation . A study from Thailand reports on the use of hand‐carried ultrasound to assess laryngeal oedema in patients being evaluated for extubation readiness .…”

Section: Resultsmentioning

confidence: 99%

The use of portable ultrasound devices in low‐ and middle‐income countries: a systematic review of the literature

Becker

Tafoya

Becker

et al. 2016

Tropical Med Int Health

154

146

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Abstractobjectives To review the scientific literature pertaining to the use of hand-carried and hand-held ultrasound devices in low-and middle-income countries (LMIC), with a focus on clinical applications, geographical areas of use, the impact on patient management and technical features of the devices used.methods The electronic databases PubMed and Google Scholar were searched. No language or date restrictions were applied. Case reports and original research describing the use of hand-carried ultrasound devices in LMIC were included if agreed upon as relevant by two-reviewer consensus based on our predefined research questions.results A total of 644 articles were found and screened, and 36 manuscripts were included for final review. Twenty-seven studies were original research articles, and nine were case reports. Several reports describe the successful diagnosis and management of difficult, often life-threatening conditions, using hand-carried and hand-held ultrasound. These portable ultrasound devices have also been studied for cardiac screening exams, as well as a rapid triage tool in rural areas and after natural disaster. Most applications focus on obstetrical and abdominal complaints. Portable ultrasound may have an impact on clinical management in up to 70% of all cases. However, no randomised controlled trials have evaluated the impact of ultrasound-guided diagnosis and treatment in resource-constrained settings. The exclusion of articles published in journals not listed in the large databases may have biased our results. Our findings are limited by the lack of higher quality evidence (e.g. controlled trials).conclusions Hand-carried and hand-held ultrasound is successfully being used to triage, diagnose and treat patients with a variety of complaints in LMIC. However, the quality of the current evidence is low. There is an urgent need to perform larger clinical trials assessing the impact of hand-carried ultrasound in LMIC.

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Section: Resultsmentioning

confidence: 99%

The use of portable ultrasound devices in low‐ and middle‐income countries: a systematic review of the literature

Becker

Tafoya

Becker

et al. 2016

Tropical Med Int Health

154

146

View full text Add to dashboard Cite

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“…Laryngeal US to measure the air column width prior to cuff deflation and ACWD is proposed as a possible method to predict PES and laryngeal edema. 21,24 Ding and colleagues observed that patients with PES had significantly lower air column width and ACWD compared with non-PES patients. 21 In contrast, we failed to find significant differences in these parameters between groups.…”

Section: Discussionmentioning

confidence: 99%

Laryngeal Ultrasonography Versus Cuff Leak Test in Predicting Postextubation Stridor

Mikaeili

Yazdchi

Tarzamni

et al. 2014

Journal of Cardiovascular and Thoracic Research; ISSN 2008-6830

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“…Ultrasound has also been used to evaluate for postextubation laryngeal edema. Measuring the air column width (ACW) during endotracheal tube balloon deflation has been found to be effective in ruling out mild to moderate laryngeal edema and similar to the cuff leak test 7–9. Vocal cord examinations use high-frequency transducers (8–15MHz) and typically have patients in a supine position with the neck slightly extended.…”

Section: Discussionmentioning

confidence: 99%

Point-of-Care Sonographic Findings in Acute Upper Airway Edema

Schick¹,

Grether-Jones²

2016

WestJEM

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We describe a case where a patient presented with acute angiotensin-converting enzyme inhibitor (ACE-I) induced angioedema without signs or symptoms of upper airway edema beyond lip swelling. Point-of-care ultrasound (POCUS) was used as an initial diagnostic test and identified left-sided subglottic upper airway edema that was immediately confirmed with indirect fiberoptic laryngoscopy. ACE-I induced angioedema and the historical use of ultrasound in evaluation of the upper airway is briefly discussed. To our knowledge, POCUS has not been used to identify acute upper airway edema in the emergency setting. Further investigation is needed to determine if POCUS is a sensitive and specific-enough tool for the identification and evaluation of acute upper airway edema.

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Predicting laryngeal edema in intubated patients by portable intensive care unit ultrasound

Cited by 55 publications

References 20 publications

The use of portable ultrasound devices in low‐ and middle‐income countries: a systematic review of the literature

The use of portable ultrasound devices in low‐ and middle‐income countries: a systematic review of the literature

Laryngeal Ultrasonography Versus Cuff Leak Test in Predicting Postextubation Stridor

Point-of-Care Sonographic Findings in Acute Upper Airway Edema

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