Combined use of Ventrain and S-Guide for Airway Management of Severe Subglottic Stenosis

Zuercher, Mael; Pythoud-brügger, Mélanie; Sandu, Kishore; Schoettker, Patrick

doi:10.5152/tjar.2019.75428

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…In addition to the highly effective reoxygenation during hypoxia [11][12][13], this technique has added value in laryngological surgery [14][15][16][17] and one-lung ventilation [18] because of the possibility to ventilate patients through a thin tube or catheter [19]. Of note, efficient ventilation -thus, both oxygenation and CO 2 removal -requires a closed airway.…”

Section: Ventilation Through a Small Bore Lumenmentioning

confidence: 99%

“…This long-acting anticholinergic drug should be used with caution in the presence of diseases such as cardiac disorders, renal dysfunction, glaucoma or urinary retention. When faced with excessive secretions in the airway it is not possible to use a traditional suction catheter; however, with a deflated cuff the ventilation lumen can be used for suctioning, equivalent to a 12 Ch catheter [ 15 ].…”

Section: Limitationsmentioning

confidence: 99%

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Flow-controlled ventilation – a new and promising method of ventilation presented with a review of the literature

Białka¹,

Palaczyński²,

Szułdrzyński³

et al. 2022

ait

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Substantial efforts have been undertaken to identify and minimise factors responsible for the development of ventilator-induced lung injury. A novel approach to this problem addresses energy dissipated in lung tissue during the breathing cycle as one of the key problems. Flow-controlled ventilation is a new modality of mechanical ventilation based on a constant flow during both inspiration and expiration. This review aims to evaluate the current evidence available regarding flow-controlled ventilation. Lastly, three cases of flow-controlled ventilation application are presented: ventilation with a small lumen tube during tracheal resection, one-lung ventilation during thoracoscopic lobectomy, and ventilation of a critically ill patient with acute respiratory distress syndrome in an intensive care unit setting.

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Section: Ventilation Through a Small Bore Lumenmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

Flow-controlled ventilation – a new and promising method of ventilation presented with a review of the literature

Białka¹,

Palaczyński²,

Szułdrzyński³

et al. 2022

ait

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show abstract

“…Recent case reports have shown the S-Guide utility either in an out-of-hospital emergency settings 31 or in a situation of subglottic stenosis. 32 Its color-coded soft tip is considered as an advantage to ease its precise positioning between the vocal cords without fearing of hurting patients and its malleability might help to overcome anatomic barriers in the oropharyngeal tract.…”

Section: Discussionmentioning

confidence: 99%

Comparing S-Guide® and Gliderite® Times to Assist Video laryngoscopic Intubation in Patients with Simulated Difficult Airways: A Single-Blinded Randomized Prospective Study

Nkoulou¹,

Maibach²,

Bathory³

et al. 2022

Turk J Anaesthesiol Reanim

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Objective: Gliderite®, one of the first stylets designed specifically to assist tracheal intubation with non-channeled curved blades video laryngoscopes, can cause injury. The S-Guide® is a new, malleable, intubating guide allowing oxygenation. Its soft tip is designed to prevent trauma. We aimed to compare the duration of tracheal intubation with S-Guide compared to Gliderite using a C-MAC® D-Blade® video laryngoscope in patients with simulated difficult airways. Methods: We performed a single-blinded prospective randomized study, with 50 adult patients requiring orotracheal intubation under general anaestheesia in Lausanne University Hospital. A cervical collar was fitted around the patient’s neck to simulate difficult intubation conditions. Exclusion criteria were American Society of Anesthesiologists (ASA) >3, BMI > 35 kg m 2 , known or at risk of difficult intubation, and risk of aspiration of gastric content. We recorded T1: time of identification of the glottis; T2: time to inflate the cuff, and T3: total intubation time (capnography curve appearance). Secondary outcomes were the presence of arytenoid contact during intubation and postoperative airway discomfort. Results: There were no significant differences between T1 and T2 (seconds) while using the S-Guide or Gliderite, respectively: 14.6 [9.6-18.6] vs 16.5 [11.0-20.6]; P = .368 and 43.3 [33.2-49.3] vs 46.3 [35.6-61.5], P = .308. T3 was significantly shorter in the S-Guide group: 58.1 [50.2-61.8] vs 65.3 [57.6-78.7], P = .044. Fewer arytenoid contact occurred during intubation using the S-Guide ( P = .032), without difference in postoperative airway discomfort. Conclusion: S-Guide-assisted tracheal intubation, with a C-MAC D-Blade in simulated difficult airways, allows successful and faster intubation than with the Gliderite Stylet.

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“…Ventrain has been used in patients with critical airway narrowing or patients in extremis as a result of failed airway management. [5][6][7][8][9] Fig 1. The anesthesia monitor showing the curves during manual ventilation of the right lung using the Ventrain device connected to the airway exchange catheter.…”

mentioning

confidence: 99%

Use of the Ventrain Ventilation Device and an Airway Exchange Catheter to Manage Hypoxemia During Thoracic Surgery and One-Lung Ventilation

Piccioni

Caccioppola

Rosboch

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

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HYPOXEMIA is a common challenge during one-lung ventilation (OLV), 1,2 and first-line approaches for its management include assessing airway device position, increasing oxygeninspired fraction (FIO 2 ), optimizing ventilation, and applying continuous positive airway pressure to the nonventilated lung. 3,4 The Ventrain (Ventinova Medical, Eindhoven, Netherlands) allows for ventilation through smaller internal diameter endotracheal tubes or smaller bore catheters. It is a handheld device with tubing for connection to an oxygen flow meter on one end and a male Luer Lock connector on the other end. Ventilation is actuated by alternately covering and uncovering the exhaust hole with the operator's thumb. On exhalation, the device design exploits the Venturi effect to generate negative pressure and active expiration phase. Ventrain has been used in patients with critical airway narrowing or patients in extremis as a result of failed airway management. [5][6][7][8][9] Fig 1. The anesthesia monitor showing the curves during manual ventilation of the right lung using the Ventrain device connected to the airway exchange catheter. FIO 2 and end-tidal CO 2 (ETCO 2 ) values were measured from the Ventrain-dedicated port. The low ETCO 2 peak during the inspiration phase probably was due to the flow from the Ventrain to the airway exchange catheter after occlusion of the expiration port. Pressure, flow, and volume curves are related to the mechanically ventilated left lung.

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Combined use of Ventrain and S-Guide for Airway Management of Severe Subglottic Stenosis

Cited by 4 publications

References 8 publications

Flow-controlled ventilation – a new and promising method of ventilation presented with a review of the literature

Flow-controlled ventilation – a new and promising method of ventilation presented with a review of the literature

Comparing S-Guide® and Gliderite® Times to Assist Video laryngoscopic Intubation in Patients with Simulated Difficult Airways: A Single-Blinded Randomized Prospective Study

Use of the Ventrain Ventilation Device and an Airway Exchange Catheter to Manage Hypoxemia During Thoracic Surgery and One-Lung Ventilation

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