From the Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
A A Pract. 2021 Feb 5;15(2):e01369. doi: 10.1213/XAA.0000000000001369.
Point-of-care ultrasound has been integrated into airway management because it allows for rapid and noninvasive assessments. We present 2 cases of unexpected subglottic stenosis in infants during induction of anesthesia. Intubation failed even with endotracheal tubes that were small for patients' age. Airway ultrasound was used to measure the subglottic airway diameters, which were 2.0 and 3.0 mm in first and second cases, respectively. The severity of subglottic stenosis in the first case was grade III, requiring emergent tracheostomy. In conclusion, airway ultrasound helps to assess possibility of intubation and plan further airway management in children with unexpected difficult airway.
床旁超声已整合到气道管理中,因为它可以进行快速、无创的评估。我们报告了 2 例麻醉诱导期间婴儿意外发生的声门下狭窄。即使使用了比患者年龄小的气管内导管,插管也失败了。气道超声用于测量声门下气道的直径,在第一例和第二例中分别为 2.0 和 3.0mm。第一例声门下狭窄的严重程度为 3 级,需要紧急气管切开术。总之,气道超声有助于评估有意外困难气道的儿童插管的可能性,并计划进一步的气道管理。