This is an outdated version published on 2022-04-29. Read the most recent version.

Ultrasound guided needle mark to trachea for unidentified tracheal landmark tracheostomy case : A case series

Authors

  • Danupat Ratanavaraha National Cancer Institute

Keywords:

Technique, Ultrasound guided, Needle mark, Tracheostomy

Abstract

Generally, tracheostomy was a simple procedure for the otorhinolaryngologist, head and neck surgeon. Nevertheless, sometimes, the patient neck area, especially in head and neck cancer patients, might involve a large tumor and/or fibrosis that entirely precludes the surgical landmark of the trachea.Therefore, the author invented and developed the ultrasound- guided needle mark to the trachea for unidentified tracheal landmark technique to solve those problems. The method was simple and effective. However, there were limitations, such as when the procedure was done under local anesthesia, there was patient movement. Moreover, the surgeon's ultrasound-guided procedure skill was also a critical success factor. Therefore, we need to improve the surgical technique, tools, and surgeon skills to make this technique more effective and widely used.

References

Kristensen MS, Teoh WH. Ultrasonography in airway management. Hagberg and Benumof's airway management. 4th ed. Philadelphia: Elsevier 2018. p.74-91.

Garg R, Gupta A. Ultrasound: A promising tool for contemporary airway management. World J Clin Cases 2015;3(11):926-9.

Ziyaeifard M, Totonchi Z. Real-time ultrasound guided the new standard technique for percutaneous dilatational tracheostomy (PDT). Anesth Pain Med 2015;5(3):e24653.

Alansari M, Alotair H, Al Aseri Z, Elhoseny MA. Use of ultrasound guidance to improve the safety of percutaneous dilatational tracheostomy: a literature review. Crit Care 2015;19:229.

Rajajee V, Williamson CA, West BT. Impact of real-time ultrasound guidance on complications of percutaneous dilatational tracheostomy: a propensity score analysis. Crit Care 2015;19:198.

Yavuz A, Yilmaz M, Goya C, Alimoglu E, Kabaalioglu A. Advantages of US in percutaneous dilatational tracheostomy: randomized controlled trial and review of the literature. Radiology 2014;273(3):927-36.

Reed CR, Haines KL, Agarwal SK. Tracheostomy. Current surgical therapy. 13th ed. Philadelphia: Elsevier; 2020. p.1394-404.

Munir N, Hughes D, Sadera G, Sherman IW. Ultrasound-guided localisation of trachea for surgical tracheostomy. Eur Arch Otorhinolaryngol 2010;267(3):477-9.

Muhammad JK, Patton DW, Evans RM, Major E. Percutaneous dilatational tracheostomy under ultrasound guidance. Br J Oral Maxillofac Surg 1999;37(4):309-11.

Cheung NH, Napolitano LM. Tracheostomy: epidemiology, indications, timing, technique,and outcomes. Respir Care 2014;59(6):895-915; discussion 6-9.

Chen X, Zhai W, Yu Z, Geng J, Li M. Determining correct tracheal tube insertion depth by measuring distance between endotracheal tube cuff and vocal cords by ultrasound in Chinese adults: a prospective case-control study. BMJ Open 2018;8(12):e023374. Published 2018 Dec 6. doi:10.1136/bmjopen-2018-023374.

You-Ten KE, Siddiqui N, Teoh WH, Kristensen MS. Point-of-care ultrasound (POCUS) of the upper airway. Can J Anaesth. 2018 Apr;65(4):473-484. English. doi: 10.1007/s12630-018-1064-8. Epub 2018 Jan 18. PMID: 29349733.

Gottlieb M, Holladay D, Burns KM, Nakitende D, Bailitz J. Ultrasound for airway management: An evidence-based review for the emergency clinician. Am J Emerg Med. 2020 May;38(5):1007-1013. doi: 10.1016/j.ajem.2019.12.019. Epub 2019 Dec 11. PMID: 31843325

Downloads

Published

2022-04-29

Versions