OBSTETRIC AND GYNECOLOGICAL ANESTHESIA: Edited by Emilia Guasch and Manuel WenkPoint-of-care ultrasound in pregnancy: gastric, airway, neuraxial, cardiorespiratoryVan de Putte, Petera; Vernieuwe, Lynnb; Bouchez, Stefaanc Author Information aDepartment of Anesthesia, Imeldaziekenhuis, Imeldalaan, Bonheiden bDepartment of Anesthesia, University Hospital Antwerpen, Wilrijkstraat, Edegem cDepartment of Anesthesia, Ghent University Hospital, Corneel Heymanslaan, Gent, Belgium Correspondence to Peter Van de Putte, MD, PhD, Department of Anesthesia, Imeldaziekenhuis, Imeldalaan 9, 2820 Bonheiden, Belgium. Tel: +32 15 505239; e-mail: [email protected] Current Opinion in Anaesthesiology: June 2020 - Volume 33 - Issue 3 - p 277-283 doi: 10.1097/ACO.0000000000000846 Buy Metrics Abstract Purpose of review This review focuses on the use of point-of-care ultrasound (PoCUS) in the obstetric context for airway management and assessment of aspiration risk, the placement of neuraxial blocks and the diagnosis and follow-up of cardiorespiratory dysfunction. Recent findings Gastric ultrasound is a useful aspiration risk assessment tool in pregnant patients. Total gastric fluid assessment models and specific cut-offs between high-risk and low-risk stomachs are presented. Airway assessment is useful to detect specific changes in pregnancy and to guide airway management. Handheld ultrasound devices with automated neuraxial landmark detection capabilities could facilitate needle placement in the future. Lung and cardiac ultrasonography is useful in the management of preeclampsia, pulmonary arterial hypertension and peripartum cardiomyopathy. Summary Owing to its noninvasiveness, ease of accessibility and lack of exposure to radiation, PoCUS plays an increasing and essential role in aspiration risk assessment, airway management, neuraxial anaesthesia and cardiorespiratory diagnosis and decision-making during pregnancy. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.