Sustić Alan
Department of Anesthesiology, University Hospital Rijeka, Rijeka, Croatia.
Crit Care Med. 2007 May;35(5 Suppl):S173-7. doi: 10.1097/01.CCM.0000260628.88402.8A.
Ultrasound imaging of the upper airway in critically ill patients offers a number of attractive advantages compared with competitive imaging techniques or endoscopy. It is widely available, portable, repeatable, relatively inexpensive, pain-free, and safe. In this review article, I describe ultrasonographic anatomy of the upper respiratory organs and present the main potential applications of ultrasonography in airway management. The role of ultrasound in endotracheal tube placement, including preintubation assessment, verification of tube position, double-lumen intubation, and extubation outcome, are explained. Also, ultrasound-guided percutaneous tracheostomy, the role of ultrasound in using the laryngeal mask airway, and upper airway anesthesia are described.
与其他竞争性成像技术或内窥镜检查相比，重症患者上呼吸道的超声成像具有许多吸引人的优势。它广泛可用、便于携带、可重复、相对便宜、无痛且安全。在这篇综述文章中，我描述了上呼吸道器官的超声解剖结构，并介绍了超声在上气道管理中的主要潜在应用。解释了超声在气管插管中的作用，包括插管前评估、导管位置验证、双腔插管和拔管结果。此外，还描述了超声引导下经皮气管切开术、超声在使用喉罩气道中的作用以及上气道麻醉。
