Education  |   July 2018
Images in Anesthesiology: Point-of-care Ultrasound to Diagnose Esophageal Intubation: “The Double Trachea”
Author Notes
  • From the Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children’s Hospital, Boston Massachusetts; and Department of Anesthesiology, Harvard Medical School, Boston, Massachusetts.
  • Charles D. Collard, M.D., served as Handling Editor for this article.
    Charles D. Collard, M.D., served as Handling Editor for this article.×
  • Address correspondence to Dr. Boretsky: karen.boretsky@childrens.harvard.edu
Article Information
Education / Images in Anesthesiology / Airway Management / Radiological and Other Imaging / Respiratory System
Education   |   July 2018
Images in Anesthesiology: Point-of-care Ultrasound to Diagnose Esophageal Intubation: “The Double Trachea”
Anesthesiology 7 2018, Vol.129, 190. doi:10.1097/ALN.0000000000002146
Anesthesiology 7 2018, Vol.129, 190. doi:10.1097/ALN.0000000000002146
BEDSIDE ultrasound is increasingly available for imaging the airway in real time during instrumentation in both adults and children.1,2  When the neck is imaged in short axis using a linear transducer placed transversely over the anterior neck just superior to the sternal notch, the trachea and esophagus can usually be visualized.
We present images from a 2-month-old, 3.2-kg infant demonstrating the ultrasound findings of inadvertent esophageal intubation. A second provider observed the airway changes in real time using a linear high-frequency transducer (18L5, BKMedical, USA) and a BK3500 portable ultrasound machine (BKMedical).