What can ultrasound do to detect predictors of difficult airways?

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Usikyan E.G.

Petrovsky National Research Centre of Surgery

Zaitsev A.Yu.

Petrovsky Russian Research Center of Surgery;
Sechenov First Moscow State Medical University

Dubrovin K.V.

Petrovsky Russian Research Center of Surgery;
Sechenov First Moscow State Medical University

Svetlov V.A.

Petrovsky Russian Research Center of Surgery

What can ultrasound do to detect predictors of difficult airways?

Authors:

Usikyan E.G., Zaitsev A.Yu., Dubrovin K.V., Svetlov V.A.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2021;(5): 59‑63

DOI: 10.17116/anaesthesiology202105159

Views: 1072

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To cite this article:

Usikyan EG, Zaitsev AYu, Dubrovin KV, Svetlov VA. What can ultrasound do to detect predictors of difficult airways?. Russian Journal of Anesthesiology and Reanimatology. 2021;(5):59‑63. (In Russ.)
https://doi.org/10.17116/anaesthesiology202105159

Подписка 2025 (АиР)

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The manuscript is devoted to ultrasound-assisted diagnosis of difficult airways and subsequent tracheal intubation with a video laryngoscope. The authors describe a patient with grade I obesity, previous several difficult laryngoscopies and tracheal intubations. Clinical death occurred during one of these procedures. Ultrasound confirmed an excessive thickness of the tongue (7.12 mm, difficult airways >6.10 mm) and large vertical distance from the highest point of hyoid bone to the lower jaw (20.13 mm, difficult airways > 20.0 mm). In addition, deformation of the right plate of thyroid cartilage and glottis deviation to the right and upward were revealed. Ultrasound data correlated with clinical assessment LEMON score 3 of difficult airways (beard, large tongue and snoring). Subsequently, laryngoscopy and tracheal intubation were performed using a hyperangulated laryngoscope (C-MAC D-BLADE «Karl Störz», Germany). Minor technical difficulties arose during passing the endotracheal tube through the vocal cords that could be associated with glottis deformation or use of hockey stick-type endotracheal tube guidewire. The last situation is typical for a hyperangulated laryngoscope.

Keywords:

difficult airways

predictors

intubation

imaging

ultrasound

ultrasound examination of the upper airways

prediction of difficult airways

Authors:

Usikyan E.G.

Petrovsky National Research Centre of Surgery

Zaitsev A.Yu.

Petrovsky Russian Research Center of Surgery;
Sechenov First Moscow State Medical University

Dubrovin K.V.

Petrovsky Russian Research Center of Surgery;
Sechenov First Moscow State Medical University

Svetlov V.A.

Petrovsky Russian Research Center of Surgery

Received:

03.02.2021

Accepted:

07.03.2021

List of references:

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