Conventional endotracheal tubes
Conventional endotracheal tubes
FCV® can be applied via conventional endotracheal tubes (5-10 mm ID)
Controlling the inspiration and expiration phase
FCV® is unique in controlling the inspiration as well as the expiration phase during artificial ventilation of a patient. This is established by generating a continuous flow into the patient’s lungs followed by a continuous (negative) flow, sucking gasses out of the patient’s lungs. FCV results in linear increases and decreases in intratracheal pressures.
Conventional Tube Adapter (CTA)
FCV® needs a resistor in the respiratory circuit, to prevent any passive expiration and to enable to fully control both the inspiration and expiration. Therefore, Ventinova developed the Conventional Tube Adapter (CTA), which has a high resistant tubing. The pressure lumen of the CTA allows intratracheal pressure measurements at the distal part of the endotracheal tube, to which the CTA is connected. This ensures safe ventilation between set Peak and PEEP pressures.
Tritube: in case of a difficult airway or laryngeal surgery
In case of a (anticipated) difficult airway or laryngeal surgery, FCV® allows the use of the ultrathin and highly resistive Tritube instead of a conventional endotracheal tube with CTA.
The benefitial influence of FCV® on the ventilation efficiency or low energy is not influenced by the use of the CTA with a conventional endotracheal tube or Tritube.
- Enables FCV® with any conventional tube (size 5-10 mm ID)
- Easy connection to conventional endotracheal tubes
- Connection to Double lumen tubes to allow one and two lung ventilation
- Connection to (laser resistant) MLT-5 and MLT-6
- Precise intratracheal pressure measurement
The CTA enables the highly efficient FCV® in the operating room and intensive care unit, while using a conventional endotracheal tube:
- During surgery in patients prone to desaturate or to develop atelectasis (e.g. Obese patients, laparoscopic surgery); FCV® improves gas exchange and aeration.
- During (cardio-) thoracic surgery, when connected to a double lumen tube; FCV® may result in an improved ventilation efficiency during one-lung ventilation.
- During laryngeal surgery, when CTA is connected to (laser resistant) MLT-5 or MLT-6; FCV® provides highly efficient ventilation.
- Benefits in ICU patients are being investigated
FCV® – as compared to conventional ventilation methods – has been shown to provide a more homogenous aeration of the lungs while reducing atelectasis, resulting in a higher ventilation efficiency and an improved lung function. Furthermore, the energy dissipation into the lungs has been suggested to be reduced during FCV®. Although published clinical data has been mostly obtained in an operating room (OR) setting and our experiences on the intensive care unit (ICU) are still limited, the present body of evidence suggests that the demonstrated advantages of FCV® can be equally transferred to an ICU setting. Especially severely ill ARDS patients are likely to benefit from a gentle, yet higher efficient ventilation strategy with minimized energy dissipation to avoid ventilator-induced lung injury and support recovery of the lungs. To date, the first observations on Covid-19 patients look promising.
We would like to work together with the field to gather more clinical evidence in an ICU setting.
Full respiratory control
Ventilation possible via conventional endotracheal tube and our ultrathin Tritube
Higher efficient ventilation with lung protective potential
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Patient ventilation with minimal impact and maximal control
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Symposium organized by Erasmus Medical Center
Erasmus Medical Center (Rotterdam, the Netherlands) is organizing a hybrid symposium on Flow Controlled Ventilation blowing away VILI.The event will be held on the 28th of October in Rotterdam but can also be watched online.For more information click...
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