This prospective observational study investigates the use of preoperative point-of-care neck ultrasound to assess not only the airway but also nearby structures such as the carotid arteries, jugular veins, thyroid gland, and soft tissues. The study enrolled 230 adult patients undergoing elective abdominal surgery to evaluate the potential of ultrasound in predicting difficult airways and identifying other pathologies in the neck area. The results demonstrated that preoperative point-of-care neck ultrasound is an effective, fast, and cost-efficient tool for detecting abnormalities that could impact perioperative care. For instance, the ultrasound revealed carotid plaques, venous congestion, and thyroid or neoplastic pathologies that might have remained undiagnosed. This information proved valuable in assessing cardiovascular risk, planning for central venous catheter placement, and improving airway management strategies. In certain cases, the ultrasound findings led to changes in perioperative therapy, allowing for more tailored patient care.
The study highlights the advantages of preoperative neck ultrasound, which is non-invasive and can be performed quickly by trained professionals during routine airway assessments. This approach offers a more comprehensive understanding of a patient’s neck anatomy and potential pathologies, facilitating better surgical planning and risk management. By identifying undetected conditions early, it enables healthcare providers to make informed decisions about perioperative care, potentially preventing complications. The results suggest that incorporating point-of-care neck ultrasound into preoperative evaluations can significantly enhance patient outcomes and safety, making it a valuable addition to standard preoperative assessments. This method, being both accessible and reliable, presents a promising approach to improving the quality of care and surgical preparedness.
