Visualisation and measurement of tracheal diameter in the sheep fetus: An ultrasound study with stereomicroscopic correlation

Objective: There is no information on ultrasonographic visualisation of the upper airways in the sheep fetus, but this species permits to examine the accuracy of ultrasonography in measuring the inner tracheal diameter. This was the aim of our study. Methods: Transabdominal ultrasonography to visual ise the trachea was attempted in 16 unsedated Welsh Mountain ewes with a si ngleton pregnancy at 70 (SD 2) days gestation (term 148 days). The ultrason ographically measured inner tracheal diameter was compared with the actual inner tracheal diameter obtained by stereomicroscopy post-mortem. Results: High-resolution ultrasonography permitted clear imaging of the fetal trache a in 87% (14/16) of the cases analysed. The ultrasound measurements were sm aller than the corresponding stereomicroscopic measurements, the mean SD di fference between the measurements being 0.40 +/- 0.12 mm. Conclusions: Impr ovements in ultrasound have led to increased interest in the assessment of the trachea in human fetuses. Our study in the ovine fetus at mid gestation shows that optimal views of the fetal trachea allowing accurate measuremen ts can be obtained in almost all the cases. Copyrlight (C) 2001 S. Karger A G, Basel.