Effective, full ventilation of a patient with an obstructed upper airway
Saving lives in CICO situations
Connection for side-stream capnometry (this functionality is not available in the USA)
Effective, full ventilation in a patient with an obstructed airway
Ventrain is a manual small lumen ventilator and the only ventilation device that provides full ventilation in “Cannot Intubate, Cannot Oxygenate” situations. It supplies oxygen during the inspiration phase and uses suction to actively remove gas from the lungs during the expiration phase. Compared to jet ventilation, this ventilation method considerably reduces the risk of intrapulmonary pressure build-up / air trapping, which may result in barotrauma and circulatory collapse. Ventrain is a single-use ventilation device specifically designed for difficult or obstructed airway situations. It offers a range of crucial new features:
- effective, full ventilation of a patient with an obstructed upper airway;
- more therapeutic options in cases involving difficult airways;
- connection for side-stream capnometry (this functionality is not available in the USA).
More options in case of a difficult airway situation
Ventrain offers various options in cases when difficult airways are anticipated. The ventilator can be connected to a minimally invasive, small bore transtracheal catheter such as Cricath ; bypassing the upper airway obstruction (e.g. a tumor). This provides more working space for the surgeon and also avoids manipulation of the obstruction, preventing bleeding and swelling in the case of a tumor. Alternatively, Ventrain can be connected to various small lumen catheters/tubes such as Tritube, an airway exchange catheter or the working channel of a bronchoscope.
By changing the flow and/or inspiration and expiration time, the tidal volume can be adjusted to the characteristics of the procedure and patient e.g. difficult airway situations in young children. Consult the ‘Instructions for Use of Ventrain’ for more details regarding which catheters can be used and which precautions to take.
Connection for capnometry
Ventrain has an additional female luer connector for side-stream capnometry tubing in order to measure CO2 levels in the actively expired gases. With jet ventilation devices, CO2 elimination can only be monitored by means of blood-gas measurement. Since capnometry is mandatory whenever possible, Ventrain ventilation offers an important advantage over jet ventilation.
Rosenblatt, Ventrain Upper Airway Surgery elective use, Case I
Rosenblatt, Ventrain Upper Airway Surgery elective use, Case II
Instruction Capnometry during Ventrain ventilation
Instruction Compliance independent ventilation via small lumen
Instructions Ventrain in case of secretions
Introduction Ventrain Tritube Ventilation by Dietmar Enk
Focus during Ventrain use by Dietmar Enk
Live Ventrain demonstration during WAMM 2015 by Dietmar Enk
Capnometry during Ventrain ventilation by Dietmar Enk
Ventrain: intermittent pressure reading (3-way stop)
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This review by Dr. Doyle provides a nice overview of available literature regarding the Ventrain ventilation system. A short explanation of the physical principles underlying the functional concept of Ventrain is followed by a summary of bench and animal studies...