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<br /> Ultrasound<br /> Focused ultrasound<br /> for airway management<br /> Philips tutorial<br /> Michael B. Stone, MD, RDMS<br /> Director, Division of Emergency Ultrasound — Department of Emergency Medicine<br /> Brigham and Women's Hospital, Boston, MA<br /> Wilma Chan, MD<br /> Emergency Ultrasound Fellow, Department of Emergency Medicine<br /> Brigham and Women's Hospital, Boston, MA<br /> Contents<br /> Focused ultrasound for airway management<br /> 1 Introduction 3<br /> 2 Clinical case 4<br /> 3 Fundamentals of the exam 5<br /> 4 Ultrasound technique 13<br /> 5 Case resolution 23<br /> 6 Bibliography 24<br /> Additional resources 25<br /> 2 <a title="Focused ultrasound for airway management page 1" href="http://viewer.zmags.com/publication/698570e2?page=1"> Ultrasound Focused ultrasound for airway managem</a> <a title="Focused ultrasound for airway management page 2" href="http://viewer.zmags.com/publication/698570e2?page=2"> Contents Focused ultrasound for airway manageme</a> <a title="Focused ultrasound for airway management page 3" href="http://viewer.zmags.com/publication/698570e2?page=3"> 1 Introduction Point-of-care ultrasoun</a> <a title="Focused ultrasound for airway management page 4" href="http://viewer.zmags.com/publication/698570e2?page=4"> 2 Clinical case An 88-year-old male is tra</a> <a title="Focused ultrasound for airway management page 5" href="http://viewer.zmags.com/publication/698570e2?page=5"> 3 Fundamentals of the exam Point-of-care u</a> <a title="Focused ultrasound for airway management page 6" href="http://viewer.zmags.com/publication/698570e2?page=6"> hyoid bone thyrohyoid membrane median thyrohyoid</a> <a title="Focused ultrasound for airway management page 7" href="http://viewer.zmags.com/publication/698570e2?page=7"> Confirmation of tracheal tube placement is perfor</a> <a title="Focused ultrasound for airway management page 8" href="http://viewer.zmags.com/publication/698570e2?page=8"> Nomenclature and definition of the terms The rele</a> <a title="Focused ultrasound for airway management page 9" href="http://viewer.zmags.com/publication/698570e2?page=9"> [Figure 2] Longitudinal view of the relevant uppe</a> <a title="Focused ultrasound for airway management page 10" href="http://viewer.zmags.com/publication/698570e2?page=10"> · Due to the reflective properties of the A-M int</a> <a title="Focused ultrasound for airway management page 11" href="http://viewer.zmags.com/publication/698570e2?page=11"> [Figure 3] Transverse view of the relevant upper </a> <a title="Focused ultrasound for airway management page 12" href="http://viewer.zmags.com/publication/698570e2?page=12"> Transducer selection The anatomic structures of i</a> <a title="Focused ultrasound for airway management page 13" href="http://viewer.zmags.com/publication/698570e2?page=13"> 4 Ultrasound technique Identification of th</a> <a title="Focused ultrasound for airway management page 14" href="http://viewer.zmags.com/publication/698570e2?page=14"> The tracheal rings are visualized as a series of </a> <a title="Focused ultrasound for airway management page 15" href="http://viewer.zmags.com/publication/698570e2?page=15"> [Figure 5] The cricothyroid membrane (asterisks) </a> <a title="Focused ultrasound for airway management page 16" href="http://viewer.zmags.com/publication/698570e2?page=16"> [ Video 1 ] Identificatio</a> <a title="Focused ultrasound for airway management page 17" href="http://viewer.zmags.com/publication/698570e2?page=17"> Endotracheal intubation Apply the linear transduc</a> <a title="Focused ultrasound for airway management page 18" href="http://viewer.zmags.com/publication/698570e2?page=18"> [Figure 6a] Appropriate transducer placement for </a> <a title="Focused ultrasound for airway management page 19" href="http://viewer.zmags.com/publication/698570e2?page=19"> As a different operator advances the endotracheal</a> <a title="Focused ultrasound for airway management page 20" href="http://viewer.zmags.com/publication/698570e2?page=20"> [ Video 2 ] Demonstration</a> <a title="Focused ultrasound for airway management page 21" href="http://viewer.zmags.com/publication/698570e2?page=21"> [ Video 3 ] Demonstration</a> <a title="Focused ultrasound for airway management page 22" href="http://viewer.zmags.com/publication/698570e2?page=22"> Real-time imaging with continuous observation dur</a> <a title="Focused ultrasound for airway management page 23" href="http://viewer.zmags.com/publication/698570e2?page=23"> 5 Case resolution This patient has an u</a> <a title="Focused ultrasound for airway management page 24" href="http://viewer.zmags.com/publication/698570e2?page=24"> 14 Bibliography 1. Muslu B, Sert H, Kaya A, </a> <a title="Focused ultrasound for airway management page 25" href="http://viewer.zmags.com/publication/698570e2?page=25"> Additional resources For additional resourc</a> <a title="Focused ultrasound for airway management page 26" href="http://viewer.zmags.com/publication/698570e2?page=26"> This paper reflects the opinion of the author, no</a>