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Correspondence  |   December 2016
The Value of the Stethoscope in the Era of Ultrasound
Author Notes
  • Overlook Medical Center, Summit, New Jersey. jabl0431@gmail.com
  • (Accepted for publication August 17, 2016.)
    (Accepted for publication August 17, 2016.)×
Article Information
Correspondence
Correspondence   |   December 2016
The Value of the Stethoscope in the Era of Ultrasound
Anesthesiology 12 2016, Vol.125, 1248-1249. doi:10.1097/ALN.0000000000001373
Anesthesiology 12 2016, Vol.125, 1248-1249. doi:10.1097/ALN.0000000000001373
To the Editor:
I read with interest the editorial by Isono et al.1  I appreciate their assessment of the value of ultrasound detecting endobronchial intubation but disagree when they state that “perhaps the stethoscope is closer to a costume piece than ever before” or that “the findings of Ramsingh et al. further undermine the perioperative role of the stethoscope (except perhaps as a fomite).” It is unfortunate that many anesthesiologists fail to carry a stethoscope or neglect to use a stethoscope preoperatively where it provides a wealth of information about the circulatory system, the heart, and the lungs. Auscultation of the carotids provides a window into the state of the arterial system. It is rare to have atherosclerosis limited just to the carotids. Cardiac murmurs, especially aortic stenosis, are easily detected by auscultating the heart. Preoperative auscultation of the lungs prevents one from wondering if that wheeze or rhonchi started intraoperatively. While the ultrasound appears to be more diagnostic of endobronchial intubation, it is premature to dismiss the use of the stethoscope.
Competing Interests
The author declares no competing interests.
Mitchell L. Jablons, M.D. Overlook Medical Center, Summit, New Jersey. jabl0431@gmail.com
Reference
Reference
Isono, S, Sandberg, WS, Jiang, Y Do you believe what you see or what you hear? Ultrasound versus stethoscope for perioperative clinicians.. Anesthesiology. (2016). 124 989–91 [Article] [PubMed]