Point-of-Care Airway Ultrasonography Prior to an Emergency Cricothyroidotomy: Case report
Journal Title: Sultan Qaboos University Medical Journal - Year 2018, Vol 18, Issue 2
Abstract
The use of ultrasonography in acute and critical care medicine is becoming increasingly common. However, use of an airway ultrasound as an adjunct to determine the type of intervention needed and assess complications is not common practice. We report a 56-year-old male who presented to the Emergency Department of the Sungai Buloh Hospital, Selangor, Malaysia, in 2015 with hoarseness, stridor and impending respiratory failure. A point-of-care ultrasound performed to assess the neck and vocal cords indicated a heterogeneous echogenic mass in the larynx, thus ruling out a cricothyroidotomy. The patient was therefore referred for an emergency tracheostomy. This case highlights the importance of point-of-care airway ultrasonography in the assessment of patients with stridor. This imaging technique not only helps to detect the cause of the stridor, but also to determine the feasibility of a cricothyroidotomy in emergency cases.
Authors and Affiliations
Mohamad Iqhbal, Julina M. Noor, Nur A. Karim, Izzat Ismail, Halim Sanib, Mohd A. Mokhtar, Safreeda S. F. Salim
Lip Necrosis as a Complication of a Prone Position in Scoliosis Surgery
During the prone positioning of patients for scoliosis surgery, bony prominences should be protected to avoid pressure necrosis and the face should be carefully positioned to protect the eyes and ears, etc. Te author r...
Re: Primary Plasma Cell Leukaemia: Case report and review of the literature
I read with interest the recent case report by Singh et al. published in the August 2018 issue of SQUMJ, in which the authors describe a 69-year-old male patient with rectal bleeding associated with pallor, dyspnoea and...
Re: UN Millennium Development Goals and Oman Kudos to Oman on its 40th National Day
María Rogel-Vence, Lucía González-Ruiz, Marcos Carmona-Rodríguez, Juan Luis Santiago-SM
Green Foot Syndrome
Inflammatory Reactions to Red Tattoo Inks: Three cases highlighting an emerging problem
In recent years, tattoos have become more commonplace. However, this can result in various inflammatory processes, the management of which can be challenging in daily clinical practice. Tattoo-related inflammatory reacti...