Evaluation of SuperNO 2 VA™ mask technology in a clinical setting: A pilot study

Ghebremichael, Semhar J.; Gumbert, Sam D.; Vanga, Naveen; Mancillas, Omar L.; Burnett, Tyrone; Cai, Chunyan; Hagberg, Carin A.

doi:10.1016/j.tacc.2017.09.054

Cited by 17 publications

(8 citation statements)

References 13 publications

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“…Studies that demonstrate the use of the SuperNO 2 VA TM in the operating room during the process of securing a difficult airway, or attaching the SuperNO 2 VA TM to a hyperinflation bag for transport to the PACU have already been reported. 21 The observations of this case series are encouraging, and suggest that a pressurized nasal ventilation mask may be a preferable alternative to improve oxygenation and ventilation in high-risk patients during deep sedation. These observations are promising, yet randomized clinical trials are…”

Section: Discussionmentioning

confidence: 64%

SuperNOVA Nasal Mask Ventilation Maintains Oxygenation during Deep Sedation in High-Risk Patients: A Case Series

Kozinn¹,

Foley²,

Feinleib³

2018

Res Pract Anesthesiol Open J

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Copyright 2018 by Feinleib J. This is an open-access article distributed under Creative Commons Attribution 4.0 International License (CC BY 4.0), which allows to copy, redistribute, remix, transform, and reproduce in any medium or format, even commercially, provided the original work is properly cited.With the convergence of two major medical trends, increasing obesity and the expansion of minimally invasive procedures come new challenges for airway management. In this case series we describe the use of a nasal ventilation mask, SuperNO 2 VA TM , in 10 patients at high-risk for sedation-induced airway obstruction and hypoxemia that required procedural sedation. This well tolerated device produced nasal oxygenation and positive airway pressure (PAP) that maintained oxygen saturation (SpO 2 ) > 97.0% throughout the cases. These encouraging outcomes suggest the utility of pressurized nasal ventilation masks, such as the Super-NO 2 VA TM , in patients at risk for airway obstruction requiring procedural sedation.

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Section: Discussionmentioning

confidence: 64%

SuperNOVA Nasal Mask Ventilation Maintains Oxygenation during Deep Sedation in High-Risk Patients: A Case Series

Kozinn¹,

Foley²,

Feinleib³

2018

Res Pract Anesthesiol Open J

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“…In all but one patient, anesthesiologists were able to use the SuperNO 2 VA™ to provide adequate ventilation during induction and laryngoscopy. 6 The Su-perNO 2 VA™ provides non-invasive, continuous ventilation via the nasal route, via the buildup of positive pressure in the nasopharynx, anteriorly displacing the soft palate and tongue from posterior pharyngeal wall, reducing airway obstruction. Use of the Super-NO 2 VA™ for pre-oxygenation and during induction may reduce the risk for oxygen desaturation in patients with obesity or OSA, as well as patients with other comorbidities that are associated with difficult intubation.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 For these pa-tients and others with confirmed or suspected difficult airways, management alternatives including nasal ventilation may be more appropriate. 3,6,7 The SuperNO 2 VA™ (Vyaire Medical, Mettawa, IL, USA) device is a nasal mask developed to provide nasal positive pressure ventilation in spontaneously breathing and apneic patients during anesthesia and endotracheal intubation (Figure 1). In a pilot study designed to evaluate the clinical performance of the SuperNO 2 VA™ in paralyzed patients under general anesthe-sia, nasal mask ventilation was successfully implemented in 97% of patients with nasal oxygenation continued during laryngoscopy and orotracheal intubation, with no adverse events.…”

Section: Introductionmentioning

confidence: 99%

“…In a pilot study designed to evaluate the clinical performance of the SuperNO 2 VA™ in paralyzed patients under general anesthe-sia, nasal mask ventilation was successfully implemented in 97% of patients with nasal oxygenation continued during laryngoscopy and orotracheal intubation, with no adverse events. 6 Much the same way nasal continuous positive airway pressure (CPAP) complements full facemask CPAP, nasal ventilation in apneic patients provides an alternative route to conventional techniques, improving the airway provider's armamentarium. Additionally, mask seal is simpler to achieve with a nasal mask, using a smaller surface area and simply applying pressure to the mask into the face, whereas downward pressure of a full facemask may displace the mandible and soft tissues posterior into the upper airway.…”

Section: Introductionmentioning

confidence: 99%

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Hardware Causing Hard Times: Use of the SuperNO2 VA™ Nasal PAP Device to Address Airway Challenges Caused by Eroding Mandibular Hardware

Marotta¹,

Kilgore²

2019

Res Pract Anesthesiol Open J

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BackgroundMaintenance of the airway and adequate ventilation are essential for the anesthetized patient and may be compromised in patients with pan-facial trauma, abnormal dentition, abnormal mandibular space, or presence of dental hardware. We present an unusual case of a patient with a lack of natural mandibular structure and exposed mechanical hardware with fistula complicating intubation and ventilation prior to surgery. Case PresentationA 35-year-old male with a history of a self-inflicted gunshot to the left submandibular region approximately 6 years prior was scheduled for urgent mandibular hardware removal, closure of left facial fistula, and removal of several teeth. Pre-oxygenation and ventilation were complicated by extruding hardware and eroded skin, causing interference with a conventional facemask seal. The patient was pre-oxygenated using the SuperNO 2 VA™ nasal mask with which an adequate seal was achieved without use of a nasal trumpet and with a modified grip. Tracheal intubation via oral video laryngoscopy was successful, and the case proceeded uneventfully. ConclusionAdequate ventilation and airway maintenance can be difficult to achieve in patients with abnormal facial structure or mandibular mechanical hardware using conventional methods. The SuperNO 2 VA™ nasal mask can address airway issues for these patients peri-operatively.

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“…También para el manejo de angioedema y espasmo glótico (17,18,). El mecanismo de acción en caso de hipoxemia será similar a la CPAP usada para el manejo del Síndrome de Apnea-Hipopnea del sueño donde su eficacia está demostrada y cuenta con gran experiencia clínica tanto en adultos como en población pediátrica: al superar la presión de cierre y de colapso mantiene abierta la laringe y la vía aérea superior; esto a su vez permite la expansión pulmonar y evita la formación de atelectasias, mejorando el intercambio de gas en un pulmón congestivo y además puede reducir la hiperinsuflación dinámica que suele presentarse en casos de hiperreactividad bronquial o distrés (19,20).…”

Section: Superno2va (Vyaire Medical Mettawa Il)unclassified

SuperNO2VA en pacientes críticos con COVID-19: Una alternativa para el soporte respiratorio no invasivo

Betancur

Pajares

2021

Revista Electrónica AnestesiaR

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La enfermedad por coronavirus 2019 ( COVID-19) se conoció a finales del 2019, inicialmente en la provincia China de Wuhan, pero se extendió de manera rápida a lo largo del mundo y en Febrero de 2020 ya estaba presente en varios países de todos los continentes; a mediados de Marzo la Organización Mundial de La salud ( OMS) la declaró oficialmente como pandemia. El espectro clínico abarca desde cuadros asintomáticos o con sintomatología leve hasta situaciones graves potencialmente mortales debido sobre todo a insuficiencia respiratoria aguda hipoxémica , sepsis o fracaso multiorgánico. La mayoría de pacientes graves que ingresan en la Unidad de Cuidados Críticos (UCI) requiere soporte respiratorio invasivo, no invasivo o la combinación de ambos. La gran avalancha de pacientes que ingresaron en los hospitales de Madrid en un periodo muy corto de tiempo condicionó una presión asistencial sin precedentes en el sistema sanitario y precisó de una reorganización estructural y funcional a todos los niveles; esta gran exigencia hizo que por momentos la disponibilidad de algunos recursos resultara claramente insuficiente y fue necesario improvisar mecanismos de ayuda y soporte así como diversificar estructuras y medios incluso en sitios poco habituales; la creación de equipos de trabajo y el equipamiento de camas de UCI fue una las mayores necesidades; en este escenario la labor del servicio de Anestesiología y Reanimación resultó fundamental dada su capacidad de adaptación y la destreza probada en el soporte y manejo del paciente crítico. El soporte respiratorio no invasivo (SRNI) es una estrategia clave para el manejo del paciente con insuficiencia respiratoria aguda grave, tanto dentro como fuera de la UCI; es cierto que al principio de la pandemia su uso no fue muy extendido, primero por el temor al fallo de la técnica y segundo y más importante por el temor fundado del personal sanitario al contagio por la dispersión de aerosoles; finalmente se ha reconocido su eficacia si se aplica con la indicación adecuada, en el momento correcto y en las instalaciones apropiadas. La mascarilla SuperNO2VA es un dispositivo poco conocido hasta ahora y que en situaciones como la que enfrentamos puede resultar de gran utilidad en casos concretos. En este artículo pretendemos describir las características clave de la neumonía por COVID-19 y el papel que juegan los sistemas de SRNI en su manejo, en concreto la mascarilla de PAP SuperNO2VA, describimos algunos casos de su uso en diversos escenarios.

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Evaluation of SuperNO 2 VA™ mask technology in a clinical setting: A pilot study

Cited by 17 publications

References 13 publications

SuperNOVA Nasal Mask Ventilation Maintains Oxygenation during Deep Sedation in High-Risk Patients: A Case Series

SuperNOVA Nasal Mask Ventilation Maintains Oxygenation during Deep Sedation in High-Risk Patients: A Case Series

Hardware Causing Hard Times: Use of the SuperNO2 VA™ Nasal PAP Device to Address Airway Challenges Caused by Eroding Mandibular Hardware

SuperNO2VA en pacientes críticos con COVID-19: Una alternativa para el soporte respiratorio no invasivo

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