Reanimationsultraschall

Airway Ultrasound Exam
Limitations of the check for main stem intubation
Interprete sonographic signs per hemithorax
In presence of (known or unknown) pneumothorax
Trachea ultrasound is applicable to check for normal or esophageal intubation.
Lung ultrasound: Mainstem intubation cannot be diagnosed. The air in the pleural
space, resulting in sonographic signs of pneumothorax (no lung sliding, no lung
pulse, no B-lines) overlay signs of one-sided intubation. Pneumothorax still could
be ruled in.
Edited by Raoul Breitkreutz (2020)
In presence of (known or unknown) cardiac standstill
Trachea ultrasound is applicable to check for normal or esophageal intubation.
Lung ultrasound: A firm statement regarding mainstem intubation is not possible
for the finding will be similar to sonographic findings as in pneumothorax (such as
no lung sliding and no lung pulse). Pneumothorax still could be ruled out (if lung
sliding or B-lines are present).
In presence of both pneumothorax and cardiac standstill
Trachea ultrasound is applicable to check for normal or esophageal intubation.
Lung ultrasound: Neither mainstem intubation nor pneumothorax can be firmly
diagnosed.
Scientific Network SonoABCD
The fine art of Sonoscopy.