Can routine ultrasound screening performed before percutaneous dilatational tracheostomy prevent dreaded complication like bleeding in intensive care unit?

Abstract

vascular structures are not monitored with bronchoscopy guided PDT. Paired anterior jugular veins and unpaired thyroid ima artery which are variable in their course and size are commonly injured and are frequent site of bleeding, leading to dreadful complication As intensivist, we should urge to improve safety and understand the vascular anatomy in a better way using ultrasound as a tool in screening the neck. Here, we present a case where on routine ultrasound screening of the anterior neck has aided in modifying plan of PDT.