Give 4 advantages of using ultrasound prior to a percutaneous tracheostomy?

  • Determine appropriate size 1
  • Assess appropriate site of insertion:
    • Determine level of tracheal cartilages to avoid puncture above 1st ring 1
    • Determine midline 1
    • Determine depth to trachea 1
  • Assess for possible abnormal anatomy:
    • Presence of thyroid tissue 1
    • Large thyroid or anterior jugular vessels in the midline 1
  • Early recognition of pneumothorax