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Background and Aims INTRODUCTION POCUS transforms airway management Surpasses clinical exam limitations Enables real-time, non-invasive imaging Aids in landmarking, confirmation & guidanceMethods US-PREDICTORS OF DIFFICULT AIRWAY ↑TT > 61 mm (sens. 75%, spec. 72%) TT/TMD ratio >0.87 (sens. 84%, spec. 79%) HMD <52 ± 6 mm HMD ratio (hyperextended neck/neutral) <1.1 DSE >2.54 cm (sens. 82%, spec. 91%) PEA >5.04 cm2 (sens. 85%, spec. 88%) (TT: tongue thickness, TMD: Thyromental distance, HMD: Hyomental distance, DSE: Distance from skin to epiglottis, PEA: Pre epiglottic area)Results Figure 1: Probe orientation and Airway Sonoanatomy at 5 levels figure 2: Sonoanatomy for Superior Laryngeal block figure 3: Cricothyroid membrane identification figure 4: Confirmation of tracheal intubation; ETT size estimationAbstract P193 Figure 1Conclusions AIRWAY ULTRASOUND = REPLACING GUESSWORK WITH GUIDANCE