Département d'Anesthésie-Réanimation, Hôpital de Bicêtre, Université Paris-Orsay, 48, Rue du Général Leclerc, 94270 Le Kremlin-Bicêtre, France.
Anaesth Crit Care Pain Med. 2021 Apr;40(2):100821. doi: 10.1016/j.accpm.2021.100821. Epub 2021 Mar 17.
Ultrasonography (USG) allows a new approach to the airway in anaesthesia and intensive care. USG visualises the airway from the mouth to the lungs. By exploring the entire airway, USG proposes new criteria (1) to assess the risk of difficult laryngoscopy, (2) to anticipate the management of a difficult airway, (3) to confirm the position of the endotracheal tube (ETT), and (4) to confirm that the lungs are effectively ventilated. Intraoperatively, USG may also help to resolve acute ventilatory problems such as pneumothorax, delayed selective bronchial intubation after patient positioning (Trendelenburg, prone or lateral position) or acute pulmonary oedema.
超声检查（USG）为麻醉和重症监护中的气道提供了一种新的方法。USG 可以从口腔到肺部可视化气道。通过探索整个气道，USG 提出了新的标准：(1) 评估困难喉镜检查的风险，(2) 预测困难气道的管理，(3) 确认气管内导管（ETT）的位置，以及 (4) 确认肺部有效通气。在手术过程中，USG 也可能有助于解决急性通气问题，如气胸、患者定位（Trendelenburg、仰卧或侧卧位）后选择性支气管插管延迟或急性肺水肿。
