Ultrasonographic identification of the cricothyroid membrane: Best evidence, techniques, and clinical impact

British Journal of Anaesthesia

Volumn 117, Issue , 2016, Pages i39-i48

  Kristensen, M S ^a   Teoh, W H ^b   Rudolph, S S ^a  

^a Rigshospitalet   (Denmark)

^b Wendy Teoh Pte Ltd   (Singapore)

Author keywords

airway, anatomy; airway, complications; airway, obstruction; airway, patency; cricothyrotomy; tracheostomy; ultrasonography

Indexed keywords

ANESTHESIST; CADAVER; COMPARATIVE STUDY; CRICOID CARTILAGE; ECHOGRAPHY; HUMAN; MEDICAL EDUCATION; PRIORITY JOURNAL; REGIONAL ANESTHESIA; RESPIRATION CONTROL; REVIEW; TRACHEOSTOMY; TRACHEOTOMY; VASCULAR ACCESS; ANESTHESIOLOGY; CLINICAL COMPETENCE; DIAGNOSTIC IMAGING; EDUCATION; EVIDENCE BASED MEDICINE; PALPATION; PATIENT POSITIONING; PROCEDURES; STANDARDS; SURGERY; THYROID CARTILAGE;

AIRWAY MANAGEMENT; ANESTHESIOLOGY; CLINICAL COMPETENCE; CRICOID CARTILAGE; EDUCATION, MEDICAL, CONTINUING; EVIDENCE-BASED MEDICINE; HUMANS; PALPATION; PATIENT POSITIONING; THYROID CARTILAGE; ULTRASONOGRAPHY;

EID: 85010378846     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aew176     Document Type: Review

References (45)

1. Asai T. Emergency cricothyrotomy: toward a safer and more reliable rescue method in "cannot intubate, cannot oxygenate" situation. Anesthesiology 2015; 123: 995-6
2. Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2013; 118: 251-70
3. Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth 2015; 115: 827-48
4. Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management-part 1-difficult tracheal intubation encountered in an unconscious/induced patient. Can J Anaesth 2013; 60: 1089-118
5. Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management-part 2-the anticipated difficult airway. Can J Anaesth 2013; 60: 1119-38
6. The Vortex approach. 2016. Available from http:// vortexapproach.com/Vortex-Approach/Vortex.html (accessed 17 April 2016).
7. Cook TM, Woodall N, Frerk C, Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth 2011; 106: 617-31
8. Hamaekers AE, Henderson JJ. Equipment and strategies for emergency tracheal access in the adult patient. Anaesthesia 2011; 66(Suppl 2): 65-80
9. Erlandson MJ, Clinton JE, Ruiz E, Cohen J. Cricothyrotomy in the emergency department revisited. J Emerg Med 1989; 7: 115-8
10. Aslani A, Ng SC, Hurley M, McCarthy KF, McNicholas M, McCaul CL. Accuracy of identification of the cricothyroid membrane in female subjects using palpation: an observational study. Anesth Analg 2012; 114: 987-92
11. Kristensen MS, Teoh WH, Rudolph SS, et al. Structured approach to ultrasound-guided identification of the cricothyroid membrane: a randomized comparison with the palpation method in the morbidly obese. Br J Anaesth 2015; 114: 1003-4
12. Lamb A, Zhang J, Hung O, et al. Accuracy of identifying the cricothyroid membrane by anesthesia trainees and staff in a Canadian institution. Can J Anaesth 2015; 62: 495-503
13. You-Ten KE, Desai D, Postonogova T, Siddiqui N. Accuracy of conventional digital palpation and ultrasound of the cricothyroid membrane in obese women in labour. Anaesthesia 2015; 70: 1230-4
14. Orr JA, Stephens RS, Mitchell VM. Ultrasound-guided localisation of the trachea. Anaesthesia 2007; 62: 972-3
15. Nicholls SE, Sweeney TW, Ferre RM, Strout TD. Bedside sonography by emergency physicians for the rapid identification of landmarks relevant to cricothyrotomy. Am J Emerg Med 2008; 26: 852-6
16. Elliott DS, Baker PA, Scott MR, Birch CW, Thompson JM. Accuracy of surface landmark identification for cannula cricothyroidotomy. Anaesthesia 2010; 65: 889-94
17. Singh M, Chin KJ, Chan VW, Wong DT, Prasad GA, Yu E. Use of sonography for airway assessment: an observational study. J Ultrasound Med 2010; 29: 79-85
18. Kristensen MS. Ultrasonography in the management of the airway. Acta Anaesthesiol Scand 2011; 55: 1155-73
19. Kundra P, Mishra SK, Ramesh A. Ultrasound of the airway. Indian J Anaesth 2011; 55: 456-62
20. De Oliveira GS Jr, Fitzgerald P, Kendall M. Ultrasound-assisted translaryngeal block for awake fibreoptic intubation. Can J Anaesth 2011; 58: 664-5
21. BarbeN,Martin P, Pascal J,Heras C, Rouffiange P,Molliex S. [Locating the cricothyroid membrane in learning phase: value of ultrasonography?]. Ann Fr Anesth Reanim 2014; 33: 163-6
22. Dinsmore J, Heard AM, Green RJ. The use of ultrasound to guide time-critical cannula tracheotomy when anterior neck airway anatomy is unidentifiable. Eur J Anaesthesiol 2011; 28: 506-10
23. Suzuki A, Iida T, Kunisawa T, Henderson JJ, Fujita S, Iwasaki H. Ultrasound-guided cannula cricothyroidotomy. Anesthesiology 2012; 117: 1128
24. Curtis K, Ahern M, Dawson M, Mallin M. Ultrasound-guided, bougie-assisted cricothyroidotomy: a description of a novel technique in cadaveric models. Acad Emerg Med 2012; 19: 876-9
25. Tsui B, Ip V, Walji A. Airway sonography in live models and cadavers. J Ultrasound Med 2013; 32: 1049-58
26. Or DY, Karmakar MK, Lam GC, Hui JW, Li JW, Chen PP. Multiplanar 3D ultrasound imaging to assess the anatomy of the upper airway and measure the subglottic and tracheal diameters in adults. Br J Radiol 2013; 86: 20130253.
27. Mallin M, Curtis K, Dawson M, Ockerse P, Ahern M. Accuracy of ultrasound-guided marking of the cricothyroid membrane before simulated failed intubation. Am J Emerg Med 2014; 32: 61-3
28. Kristensen MS, Teoh WH, Graumann O, Laursen CB. Ultrasonography for clinical decision-making and intervention in airway management: from the mouth to the lungs and pleurae. Insights Imaging 2014; 5: 253-79
29. Campbell M, Shanahan H, Ash S, Royds J, Husarova V, McCaul C. The accuracy of locating the cricothyroid membrane by palpation-an intergender study. BMC Anesthesiol 2014; 14: 108
30. Owada G, Inagawa G, Nakamura K, Kariya T, Goto T. [Usefulness of ultrasound pre-scanning for cricothyroid membrane puncture in a patient with rupture of a pseudoaneurysm]. Masui 2014; 63: 77-80
31. Parmar SB, Mehta HK, Shah NK, Parikh SN, Solanki KG. Ultrasound: a novel tool for airway imaging. J Emerg Trauma Shock 2014; 7: 155-9
32. Siddiqui N, Arzola C, Friedman Z, Guerina L, You-Ten KE. Ultrasound improves cricothyrotomy success in cadavers with poorly defined neck anatomy: a randomized control trial. Anesthesiology 2015; 123: 1033-41
33. Bair AE, Chima R. The inaccuracy of using landmark techniques for cricothyroid membrane identification: a comparison of three techniques. Acad Emerg Med 2015; 22: 908-14
34. Yildiz G, Goksu E, Senfer A, Kaplan A. Comparison of ultrasonography and surface landmarks in detecting the localization for cricothyroidotomy. Am J Emerg Med 2016; 34: 254-6
35. Kristensen MS, Teoh WH. Ultrasonography in airway management. In: Hagberg C, ed. Hagberg and Benumof's Airway Management. Philadelphia: Elsevier, 2016, in press
36. Votruba J, Zemanová P, Lambert L, Vesela MM. The role of airway and endobronchial ultrasound in perioperative medicine. Biomed Res Int 2015; 2015: 754626
37. Kristensen MS, Teoh WH, Rudolph SS, Hesselfeldt R, Borglum J, Tvede MF. A randomised cross-over comparison of the transverse and longitudinal techniques for ultrasound-guided identification of the cricothyroid membrane in morbidly obese subjects. Anaesthesia 2016; 71: 675-83
38. Stafrace S, Engelhardt T, Teoh WH, Kristensen MS. Essential ultrasound techniques of the pediatric airway. Paediatr Anaesth 2016; 26: 122-31
39. Airway management for anaesthesiologists. TACA. 2016. Available from http://airwaymanagement.dk/taca (accessed 18 April 2016)
40. Airway management for anaesthesiologists. Pearls. 2016. Available from http://airwaymanagement.dk/pearls (accessed 18 April 2016)
41. Vieira D, Lages N, Dias J, Maria L, Correia C. Ultrasoundguided retrograde intubation. Anaesthesia 2013; 68: 1075-6
42. Holm-Knudsen RJ, Rasmussen LS, Charabi B, Bottger M, Kristensen MS. Emergency airway access in children-transtracheal cannulas and tracheotomy assessed in a porcine model. Paediatr Anaesth 2012; 22: 1159-65
43. Stafrace S, Engelhardt T, Teoh WH, Kristensen MS. Essential ultrasound techniques of the pediatric airway. Paediatr Anaesth 2016; 26: 122-31
44. Teoh WH, Kristensen MS. Ultrasonographic identification of the cricothyroid membrane. Anaesthesia 2014; 69: 649-50
45. Kristensen MS, Teoh WH, Baker PA. Percutaneous emergency airway access; prevention, preparation, technique and training. Br J Anaesth 2015; 114: 357-61