FREE DOWNLOAD: The ultimate review on Ultrasonography and airway management 

Lung   Lung point
 
Normal breathing in normal lungs. Note the shadow from the ribs and the strong echo from the pleural line. The movement of the two pleural layers against each other creates the caracteristi image of "Lung sliding".   Pneumothorax. Longitudinal scan between two ribs, note the absence of rib-shadows. The strong white line is the strong echo called the pleural line. Observe the pleural line and note the "sliding lung"- coming in from the right side. The tip of this sliding indicates the point where the lung is just in contact with the parietal pleura, = the "Lung point".
      
Interstitial Syndrome   Intubation confirmation
 
B-lines are hyperechoic, laser-like, vertical lines originating from the pleura and extending to the bottom of the field of view. B-lines move synchronously with lung sliding. Interstitial syndrome is characterized by more than two B-lines in the intercostal spaces in most or all of the anterior and lateral areas of the chest.    
     
Localization of trachea and the cricothyroid membrane with ultrasonography  

Ruling out an intra-operative pneumothorax

 
     

Identification of the cricothyroid membrane with ultrasonography
Longitudinal "string of pearls" approach

 

Identification of the cricothyroid membrane with ultrasonography
Transverse "TACA" approach

 

Read our paper to see how to get a blinking light to guide your way to the trachea when you do flexible videoscopic intubation in patients with difficult airways:

Infrared Red Intubation System (IRRIS) guided flexile videoscope assisted difficult airway management
Kristensen MS, Fried E, Biro P
Acta Anaesthesiologica Scandinavica Oct 24 2017 [Epub ahead of print]

  ACTA300  

 

 

 

Dept. of Otolaryngology - Head and Neck Surgery and Audiology
Rigshospitalet, University Hospital of Copenhagen
Denmark

Cricothyroidotomy – the emergency surgical airway
Melchiors J, et al. 
Head Neck 2016;38:1129–31

  HeadNeck  

 

 

 

 

  Ventilation via the 2.4 mm internal diameter Tritube® with cuff – new possibilities in airway management
M. S. Kristensen, M. W. P. de Wolf, L. S. Rasmussen
Acta Anaesthesiologica Scandinavica 4/2017
Comparison MLT6 with Tritube    
   ACTA300
     
Oral Intubation    
   
     
Nasal Intubation    
   
  Rapid-4-step technique  
 
 
  Surgical airway using rapid 4-step technique as used and taught at Copenhagen University Hospital Rigshospitalet  
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