Sonographic Assesssment of the Anteroposterior Distance of the Epiglottis in Inhalational Burn: Three Case Reports

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  • Hida Seiji
    Division of Emergency and Critical Care Medicine Department of Cardiovascular and Vital Control Niigata University Graduate School of Medical and Dental Science
  • Endoh Hiroshi
    Division of Emergency and Critical Care Medicine Department of Cardiovascular and Vital Control Niigata University Graduate School of Medical and Dental Science
  • Ohhashi Satomi
    Division of Emergency and Critical Care Medicine Department of Cardiovascular and Vital Control Niigata University Graduate School of Medical and Dental Science
  • Honda Tadayuki
    Division of Emergency and Critical Care Medicine Department of Cardiovascular and Vital Control Niigata University Graduate School of Medical and Dental Science
  • Kinoshita Hidenori
    Division of Emergency and Critical Care Medicine Department of Cardiovascular and Vital Control Niigata University Graduate School of Medical and Dental Science

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  • 熱傷３例における頸部エコーによる喉頭浮腫の評価

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Abstract

Consecutive assessments of the anteroposterior distance (AP distance) of the epiglottis with ultrasonography may provide useful information regarding airway management in patients with inhalational burn or acute epiglottis. The AP distance of the epiglottis was ultrasonographically measured in 3 adult patients with inhalational burn. Two adult male patients had an AP distance of 0.35 and 0.25cm, respectively and both were intubated at ICU admission. The distance gradually decreased to<0.2cm by the sixth ICU day. One adult female had a low AP distance (0.08-0.14cm) and was not intubated. These results indicate that non-invasive consecutive ultrasonographic assessments of the AP distance of the epiglottis can assist with evaluation of laryngeal edema in patients with suspected inhalational burn.

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