Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

197
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
197
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

4.3K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
4.3K
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

1.6K
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1.6K
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

2.0K
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
2.0K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Prevalence and risk factors of foodborne disease among Iranian pilgrims during the Arbaeen mass gathering in Karbala, Iraq.

Scientific reports·2026
Same author

Response to: Correspondence on 'Comparison of the effects of vapocoolant spray and topical anaesthetic cream (lidocaine-prilocaine) on pain of intravenous cannulation: a randomised controlled trial' by Akhgar <i>et al</i>.

Emergency medicine journal : EMJ·2025
Same author

Comparison of the effects of vapocoolant spray and topical anaesthetic cream (lidocaine-prilocaine) on pain of intravenous cannulation: a randomised controlled trial.

Emergency medicine journal : EMJ·2025
Same author

Prevalence of Tuberculosis among People Who Use Drugs in Iran: A Systematic Review and Meta-analysis.

Addiction & health·2023
Same author

Prediction of difficult laryngoscopy / difficult intubation cases using upper airway ultrasound measurements in emergency department: a prospective observational study.

BMC emergency medicine·2023
Same author

The Rapid Arterial oCclusion Evaluation (RACE) scale accuracy for diagnosis of acute ischemic stroke in emergency department - A multicenter study.

BMC emergency medicine·2023

Related Experiment Video

Updated: Oct 30, 2025

Point-of-Care Ultrasound: A Review of Ultrasound Parameters for Predicting Difficult Airways
08:21

Point-of-Care Ultrasound: A Review of Ultrasound Parameters for Predicting Difficult Airways

Published on: April 7, 2023

1.8K

Ultrasonography indicators for predicting difficult intubation: a systematic review and meta-analysis.

Mehran Sotoodehnia1,2, Hosein Rafiemanesh3, Hadi Mirfazaelian1,4

  • 1Prehospital and Hospital Emergency Research Center, Tehran University of Medical Sciences, Tehran, Iran.

BMC Emergency Medicine
|July 4, 2021
PubMed
Summary

Ultrasonography (US) effectively predicts difficult airways for endotracheal tube placement. Key indicators like skin thickness and hyomental distance correlate with challenging laryngoscopy, aiding pre-intubation assessment.

Keywords:
Airway managementDifficult airwayIntratracheal intubationPredictionUltrasonography

More Related Videos

Image Acquisition using Portable Sonography for Emergency Airway Management
07:31

Image Acquisition using Portable Sonography for Emergency Airway Management

Published on: September 28, 2022

2.6K
Endotracheal Intubation Using a Flexible Intubation Endoscope as a Standardized Model for Safe Airway Management in Swine
04:30

Endotracheal Intubation Using a Flexible Intubation Endoscope as a Standardized Model for Safe Airway Management in Swine

Published on: August 25, 2022

3.5K

Related Experiment Videos

Last Updated: Oct 30, 2025

Point-of-Care Ultrasound: A Review of Ultrasound Parameters for Predicting Difficult Airways
08:21

Point-of-Care Ultrasound: A Review of Ultrasound Parameters for Predicting Difficult Airways

Published on: April 7, 2023

1.8K
Image Acquisition using Portable Sonography for Emergency Airway Management
07:31

Image Acquisition using Portable Sonography for Emergency Airway Management

Published on: September 28, 2022

2.6K
Endotracheal Intubation Using a Flexible Intubation Endoscope as a Standardized Model for Safe Airway Management in Swine
04:30

Endotracheal Intubation Using a Flexible Intubation Endoscope as a Standardized Model for Safe Airway Management in Swine

Published on: August 25, 2022

3.5K

Area of Science:

  • Anesthesiology
  • Medical Imaging

Background:

  • Ultrasonography (US) is increasingly utilized for airway assessment before endotracheal tube (ETT) intubation.
  • Various US indicators have been proposed for predicting difficult airways, but their performance varies.

Purpose of the Study:

  • To systematically review and meta-analyze the performance of ultrasonography in assessing difficult airways.
  • To evaluate the efficacy of different US indicators in predicting intubation difficulty.

Main Methods:

  • Systematic review and meta-analysis following PRISMA and Cochrane guidelines.
  • Inclusion of studies published in English by April 28, 2020, that assessed difficult airways using US and compared indicators.
  • Extraction of data from 26 articles examining 45 US indicators for difficult intubation prediction.

Main Results:

  • The most common US indicator was "thickness of anterior neck soft tissue at the vocal cords level".
  • "Skin to epiglottis" and "anterior neck soft tissue at the hyoid bone level" were also frequently examined.
  • Meta-analysis indicated that "skin thickness at the epiglottis and hyoid levels", "hyomental distance", and "hyomental distance ratio" correlated with difficult laryngoscopy.

Conclusions:

  • Ultrasonography is a viable tool for predicting difficult airways.
  • Specific US measurements show correlation with intubation difficulty, supporting its use in pre-procedural assessment.
  • Further external validation is needed for many proposed US indicators.