The Ventrain Device: A Future Role in Difficult Airway Algorithms?

Morrison, Stuart; Aerts, Sophie; Saldien, Vera

doi:10.1213/xaa.0000000000001084

Cited by 7 publications

(2 citation statements)

References 15 publications

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“… 275 If needle cricothyrotomy is used, ventilation should ideally proceed using a Ventrain device (Ventinova Medical, Eindhoven, Netherlands). 276 , 277 For older children (i.e., > 8–12 yr), the scalpel-bougie technique can be used via the CTM. There is no evidence that cricothyrotomy kits are superior to a scalpel cricothyrotomy technique.…”

Section: The Pediatric Patient—special Considerationsmentioning

confidence: 99%

Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient

Law

Duggan

Asselin

et al. 2021

Can J Anesth/J Can Anesth

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Purpose Since the last Canadian Airway Focus Group (CAFG) guidelines were published in 2013, the literature on airway management has expanded substantially. The CAFG therefore re-convened to examine this literature and update practice recommendations. This first of two articles addresses difficulty encountered with airway management in an unconscious patient. Source Canadian Airway Focus Group members, including anesthesia, emergency medicine, and critical care physicians, were assigned topics to search. Searches were run in the Medline, EMBASE, Cochrane Central Register of Controlled Trials, and CINAHL databases. Results were presented to the group and discussed during video conferences every two weeks from April 2018 to July 2020. These CAFG recommendations are based on the best available published evidence. Where high-quality evidence was lacking, statements are based on group consensus. Findings and key recommendations Most studies comparing video laryngoscopy (VL) with direct laryngoscopy indicate a higher first attempt and overall success rate with VL, and lower complication rates. Thus, resources allowing, the CAFG now recommends use of VL with appropriately selected blade type to facilitate all tracheal intubations. If a first attempt at tracheal intubation or supraglottic airway (SGA) placement is unsuccessful, further attempts can be made as long as patient ventilation and oxygenation is maintained. Nevertheless, total attempts should be limited (to three or fewer) before declaring failure and pausing to consider “exit strategy” options. For failed intubation, exit strategy options in the still-oxygenated patient include awakening (if feasible), temporizing with an SGA, a single further attempt at tracheal intubation using a different technique, or front-of-neck airway access (FONA). Failure of tracheal intubation, face-mask ventilation, and SGA ventilation together with current or imminent hypoxemia defines a “cannot ventilate, cannot oxygenate” emergency. Neuromuscular blockade should be confirmed or established, and a single final attempt at face-mask ventilation, SGA placement, or tracheal intubation with hyper-angulated blade VL can be made, if it had not already been attempted. If ventilation remains impossible, emergency FONA should occur without delay using a scalpel-bougie-tube technique (in the adult patient). The CAFG recommends all institutions designate an individual as “airway lead” to help institute difficult airway protocols, ensure adequate training and equipment, and help with airway-related quality reviews.

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Section: The Pediatric Patient—special Considerationsmentioning

confidence: 99%

Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient

Law

Duggan

Asselin

et al. 2021

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

show abstract

“…The clinical application of Ventrain, including its potential advantages over alternative techniques, has been described in detail [2]. Several studies have demonstrated that Ventrain is the safest and most efficient device for ventilation in a (near) complete airway obstruction [3][4][5], and its successful use in emergency situations has been published [6,7].…”

mentioning

confidence: 99%

Near total intrathoracic airway obstruction managed with a Tritube (R) and flow‐controlled ventilation: a reply.

Böttinger¹,

Uriarte²,

Hoorn³

2022

Anaesthesia Reports

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Management Of The Pediatric Difficult Airway: New Strategies Unveiled

Khan,

Matuszczak

2024

Curr Anesthesiol Rep

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Purpose of Review This article outlines recent advancements in pediatric difficult airway management, driven by collaborative research and technology. It highlights challenges in newborns and infants, emphasizing initiatives like the Pediatric Difficult Intubation Registry (PeDI-R) and large-scale observational studies like APRICOT and NECTARINE. These endeavors aim to refine management strategies, enhancing approaches to both anticipated and unforeseen difficult pediatric airways. Recent Findings Studies have elucidated various facets of pediatric airway management, including difficult intubation incidence, contributing factors and efficacy of diverse techniques and devices. Noteworthy advancements include videolaryngoscopy, hybrid techniques, passive oxygenation, sedation, and muscle relaxation with a focus on reducing intubation attempts. Additionally, ultrasound’s utility and the significance of extubation planning are highlighted. Summary To summarize, continued research and collaboration refine strategies for difficult pediatric airway management, striving to enhance patient outcomes and safety through dissemination of knowledge and leveraging recent insights.

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The Ventrain Device: A Future Role in Difficult Airway Algorithms?

Cited by 7 publications

References 15 publications

Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient

Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient

Near total intrathoracic airway obstruction managed with a Tritube (R) and flow‐controlled ventilation: a reply.

Management Of The Pediatric Difficult Airway: New Strategies Unveiled

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