Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2018.06.009
Brazilian Journal of Anesthesiology
Review Article

Ultrasound guided airway access

Acesso às vias aéreas guiado por ultrassom

Neusa Lages; Diana Vieira; Joana Dias; Cláudia Antunes; Tiago Jesus; Telmo Santos; Carlos Correia

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Abstract

Abstract Ultrasound has increasingly growing applications in anesthesia. This procedure has proven to be a novel, non-invasive and simple technique for the upper airway management, proving to be a useful tool, not only in the operating room but also in the intensive care unit and emergency department. Indeed, over the years mounting evidence has showed an increasing role of ultrasound in airway management. In this review, the authors will discuss the importance of ultrasound in the airway preoperative assessment as a way of detecting signs of difficult intubation or to define the type and/or size of the endotracheal tube as well as to help airway procedures such as endotracheal intubation, cricothyrotomy, percutaneous tracheal intubation, retrograde intubation as well as the criteria for extubation.

Keywords

Ultrasound, Airway management

Resumo

Resumo O uso do ultrassom em anestesia tem aumentado consideravelmente. Esse procedimento provou ser uma técnica nova, não invasiva e simples para o manejo das vias aéreas superiores, mostrou ser uma ferramenta útil não apenas em salas de cirurgia, mas também em unidades de terapia intensiva e prontos-socorros. De fato, ao longo dos anos, evidências crescentes mostraram que o papel do ultrassom no manejo das vias aéreas se destacou. Nesta revisão, discutiremos a importância da ultrassonografia na avaliação pré-operatória das vias aéreas, como forma de detectar sinais de intubação difícil ou definir o tipo e/ou tamanho do tubo endotraqueal, bem como auxiliar nos procedimentos de abordagem das vias aéreas, como intubação endotraqueal, cricotireotomia, intubação traqueal percutânea, intubação retrógrada e critérios de extubação.

Palavras-chave

Ultrassom, Manejo de vias aéreas

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