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Ultrasound Use in the Pediatric Airway: The Time Has Come

Dalesio, Nicholas M. MD*; Kattail, Deepa MD*; Ishman, Stacey L. MD, MPH, FAAP; Greenberg, Robert S. MD*

doi: 10.1097/ACC.0b013e3182a070d2
Case Reports: Case Report

Advancements in ultrasonography and increasing familiarity with its use in the operating room (vascular access and regional neural blockade) suggest its feasibility as an adjunct in pediatric airway evaluation and intervention. We report 3 cases demonstrating the usefulness of ultrasound techniques in this setting. We show key elements of airway anatomy, noninvasive observation of vocal cord motion, and percutaneous periglottic steroid injection via the cricothyroid membrane in 3 different patients. This report reveals the possible usefulness of ultrasound imaging in clinical anesthesia care, specifically airway management, in children.

From the *Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University; and Departments of Otolaryngology—Head and Neck Surgery, Pediatrics and Internal Medicine—Division of Pulmonary and Critical Care Medicine, and Anesthesiology and Critical Care Medicine, and Center for Snoring and Sleep Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland.

Accepted for publication May 28, 2013.

Funding: None.

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site.

Address correspondence to Nicholas M. Dalesio, MD, Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University, 1800 Orleans St., Room 6368, Baltimore, MD 21287. Address e-mail to Ndalesi1@jhmi.edu.

© 2014 International Anesthesia Research Society
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