Ultrasound-Guided Percutaneous Dilatational Tracheostomies in 2 Difficult Airways

J Ultrasound Med. 2018 Apr;37(4):1043-1048. doi: 10.1002/jum.14433. Epub 2017 Oct 13.

Abstract

Ultrasound has become a rapid, safe, and easy-to-use tool for anesthesiologists. It reduces complications, morbidity, and mortality, especially in patients with anatomic abnormalities in whom a traditional approach may be both difficult and risky. We report 2 cases of symptomatic patients with a difficult airway due to displacement of the trachea by a neck mass. Real-time ultrasound imaging was performed for percutaneous dilatational tracheostomies, identifying important structures, without any complications.

Keywords: airway management; anesthesia; head and neck; neck neoplasm; tracheostomy; ultrasound.

Publication types

  • Case Reports

MeSH terms

  • Goiter, Nodular / complications*
  • Head and Neck Neoplasms / complications*
  • Humans
  • Male
  • Trachea / diagnostic imaging*
  • Tracheostomy / methods*
  • Ultrasonography, Interventional / methods*