Successful endotracheal intubation guided by tracheal ultrasonography in a critical patient with a difficult airway

In critical care, effective airway management, especially during cardiopulmonary resuscitation (CPR), is vital. Endotracheal intubation, although common, poses challenges in patients with difficult airways. Traditional methods for confirming tube placement, particularly during CPR, can be unreliable...

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Main Author: Behnan Gulunay
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Turkish Journal of Emergency Medicine
Subjects:
Online Access:https://journals.lww.com/10.4103/tjem.tjem_77_24
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author Behnan Gulunay
author_facet Behnan Gulunay
author_sort Behnan Gulunay
collection DOAJ
description In critical care, effective airway management, especially during cardiopulmonary resuscitation (CPR), is vital. Endotracheal intubation, although common, poses challenges in patients with difficult airways. Traditional methods for confirming tube placement, particularly during CPR, can be unreliable. Tracheal ultrasonography is emerging as a valuable tool for guiding intubation and confirming tube placement in real time. A case of a 72-year-old with respiratory distress, chronic obstructive pulmonary disease, and heart failure is described. Despite initial treatment, emergency intubation was necessary, but the initial attempt failed due to a difficult airway. Tracheal ultrasonography guided the intubation process and confirmed tube placement in real time, leading to successful intubation and improved outcomes. This technique shows promise in optimizing airway management during CPR, offering real-time visualization, and minimizing complications. This case underscores the potential of ultrasound-guided techniques in emergency airway management. Further research is needed to fully understand their benefits and limitations in such settings.
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issn 2452-2473
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spelling doaj-art-7dd20fa0fa434623b29b37df7badcb602025-08-20T03:31:36ZengWolters Kluwer Medknow PublicationsTurkish Journal of Emergency Medicine2452-24732025-04-0125213914210.4103/tjem.tjem_77_24Successful endotracheal intubation guided by tracheal ultrasonography in a critical patient with a difficult airwayBehnan GulunayIn critical care, effective airway management, especially during cardiopulmonary resuscitation (CPR), is vital. Endotracheal intubation, although common, poses challenges in patients with difficult airways. Traditional methods for confirming tube placement, particularly during CPR, can be unreliable. Tracheal ultrasonography is emerging as a valuable tool for guiding intubation and confirming tube placement in real time. A case of a 72-year-old with respiratory distress, chronic obstructive pulmonary disease, and heart failure is described. Despite initial treatment, emergency intubation was necessary, but the initial attempt failed due to a difficult airway. Tracheal ultrasonography guided the intubation process and confirmed tube placement in real time, leading to successful intubation and improved outcomes. This technique shows promise in optimizing airway management during CPR, offering real-time visualization, and minimizing complications. This case underscores the potential of ultrasound-guided techniques in emergency airway management. Further research is needed to fully understand their benefits and limitations in such settings.https://journals.lww.com/10.4103/tjem.tjem_77_24difficult airwayendotracheal intubationreal-time ultrasound guidancetracheal ultrasonography
spellingShingle Behnan Gulunay
Successful endotracheal intubation guided by tracheal ultrasonography in a critical patient with a difficult airway
Turkish Journal of Emergency Medicine
difficult airway
endotracheal intubation
real-time ultrasound guidance
tracheal ultrasonography
title Successful endotracheal intubation guided by tracheal ultrasonography in a critical patient with a difficult airway
title_full Successful endotracheal intubation guided by tracheal ultrasonography in a critical patient with a difficult airway
title_fullStr Successful endotracheal intubation guided by tracheal ultrasonography in a critical patient with a difficult airway
title_full_unstemmed Successful endotracheal intubation guided by tracheal ultrasonography in a critical patient with a difficult airway
title_short Successful endotracheal intubation guided by tracheal ultrasonography in a critical patient with a difficult airway
title_sort successful endotracheal intubation guided by tracheal ultrasonography in a critical patient with a difficult airway
topic difficult airway
endotracheal intubation
real-time ultrasound guidance
tracheal ultrasonography
url https://journals.lww.com/10.4103/tjem.tjem_77_24
work_keys_str_mv AT behnangulunay successfulendotrachealintubationguidedbytrachealultrasonographyinacriticalpatientwithadifficultairway