Role of Point-of-Care Ultrasound in the Early Stages of Trauma Care

AbstractPurpose of ReviewPoint-of-care ultrasound (POCUS) has been widely adopted in the management of trauma patients by emergency and surgical specialists. Advances in technology, portability, and affordability have contributed to its exponential growth, particularly in the field of trauma anesthesia where ultrasound usage has steadfastly blossomed in recent years.Recent FindingsStudies and protocols have expanded beyond the oft-used focused assessment with sonography for trauma examination to include focused cardiac and lung examinations. POCUS may also be useful as an adjunct for airway management, vascular access, and intracranial pressure assessment. There has been a push to incorporate ultrasound use by paramedics and physicians in the pre-hospital trauma setting as well.SummaryIn this review, we discuss POCUS applications in the early stages of trauma care while emphasizing more recently published literature. This review is targeted toward anesthesia providers who wish to familiarize themselves with evidence-based applications of POCUS in various trauma settings.
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research

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AbstractPurpose of ReviewClinical application of ultrasound (US) in airway management has continued to expand and evolve over the years. Our narrative aims to provide an updated summary of the role of airway US in current anesthesia practice, based on evidence published in the recent 5  years.Recent FindingsEvidence continues to support the use of US in identifying the cricothyroid membrane and tracheal interspace for infraglottic airway access. While US shows potential in improving the accuracy of prediction of difficult airways, no standardized scanning protocol has yet to be created. Other promising clinical applic...
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research
We report a patient with FOP suffering from life-threatening antibiotic resistant bacterial infected ulcers of the right lower leg and foot. The anesthetic, surgical and postoperative challenges and considerations are discussed. In addition, the literature on limb surgeries of FOP patients is systemically reviewed. The 44 year-old female patient was scheduled for a through-knee amputation. Airway and pulmonary evaluation elicited severe abnormalities, rendering standard general anesthesia a rather complication-prone approach in this patient. Thus, regional anesthesia, supplemented with intravenous analgosedation and N2O-in...
Source: Frontiers in Endocrinology - Category: Endocrinology Source Type: research
The COVID-19 pandemic is spreading globally. COVID-19 has an effect on the systemic state, cardiopulmonary function and primary disease of patients undergoing surgery. COVID-19's high contagiousness makes anesthesia and intraoperative management more difficult. This expert consensus aims to comprehensively introduce the application of perioperative ultrasound in COVID-19 patients, including pulmonary ultrasound and anesthesia management, ultrasound and airway management, ultrasound-guided regional anesthesia and echocardiography for COVID-19 patients.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Special Article Source Type: research
Purpose of review This review focuses on the use of point-of-care ultrasound (PoCUS) in the obstetric context for airway management and assessment of aspiration risk, the placement of neuraxial blocks and the diagnosis and follow-up of cardiorespiratory dysfunction. Recent findings Gastric ultrasound is a useful aspiration risk assessment tool in pregnant patients. Total gastric fluid assessment models and specific cut-offs between high-risk and low-risk stomachs are presented. Airway assessment is useful to detect specific changes in pregnancy and to guide airway management. Handheld ultrasound devices with automated...
Source: Current Opinion in Anaesthesiology - Category: Anesthesiology Tags: OBSTETRIC AND GYNECOLOGICAL ANESTHESIA: Edited by Emilia Guasch and Manuel Wenk Source Type: research
Carcinomas of the larynx are common and require multidisciplinary perioperative management with particularly excellent communication between the surgeon and anaesthesiologist. Early preoperative assessment allows for optimisation, prehabilitation and advanced imaging in cases who present without respiratory compromise. On arrival for surgery, thorough airway examination including preoperative endoscopic airway assessment under topical anaesthesia and airway ultrasound will inform planning for airway management.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - Category: ENT & OMF Authors: Source Type: research
Publication date: Available online 28 April 2020Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Glenio Bitencourt Mizubuti, Anthony M.-H. Ho
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research
AbstractUltrasonography is a simple, reliable, non-invasive technique which helps in real-time assessment of airway anatomy and contributes to safer airway management in various settings like operating rooms, intensive care units and emergency departments. It also helps us to plan the appropriate anesthetic technique especially in difficult airway cases. Here, we discuss the importance of styleted tracheal tube in improving the accuracy of ultrasound guided tracheal intubation in anticipated difficult airway.
Source: Journal of Clinical Monitoring and Computing - Category: Information Technology Source Type: research
This article provides a brief overview of the indications, techniques for image acquisition, and general principles in interpreting basic images.Recent FindingsWhole-body POCUS can provide quick diagnoses and impact clinical management across relevant pre-, intra-, and post-operative settings. Anesthesia providers need to understand different applications for POCUS, including focused cardiac ultrasound (FoCUS), lung ultrasound (LUS), gastric ultrasound, abdominopelvic ultrasound, and the use of ultrasound for airway management. Currently, there is no standard ultrasound curriculum for anesthesiology residents, and teaching...
Source: Current Pain and Headache Reports - Category: Neurology Source Type: research
This article attempts to briefly outline the role of ultrasound and its applications for airway management in patients.
Source: Journal of Anaesthesiology Clinical Pharmacology - Category: Anesthesiology Authors: Source Type: research
Authors: De Cassai A, Boscolo A, Rose K, Carron M, Navalesi P Abstract BACKGROUND: Airway management is a fundamental goal for the anesthesiologist. The rate of difficult laryngoscopy in patients undergoing thyroid surgery ranges from 6.8% to 9.6%. An accurate and detailed preoperative evaluation of the airway seems to be a promising tool to predict a potentially difficult airway management. We aimed to identify possible risk factors and physical findings that predict difficult intubation in thyroid surgery. METHODS: MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials (CENTRAL) were analysed,...
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
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