Ventrain装置：在困难气道处理流程中未来能发挥作用吗？
The Ventrain Device: A Future Role in Difficult Airway Algorithms?
作者信息
Morrison Stuart, Aerts Sophie, Saldien Vera
机构信息
From the Department of Anesthesiology, Antwerp University Hospital, Edegem, Belgium.
出版信息
A A Pract. 2019 Nov 1;13(9):362-365. doi: 10.1213/XAA.0000000000001084.
Abstract
The Ventrain is a small, manually operated, single-use, inspiratory flow-adjustable ventilation device that generates positive pressure during inspiration and, through a Bernoulli effect within the device, active suction during expiration. It was designed to provide emergency ventilation during airway obstruction via narrow-bore cannulae. The device has been used successfully in elective procedures lasting >1 hour. It remains to be seen if its theoretical advantages in "can't intubate, can't oxygenate" (CICO) scenarios translate to reliable clinical benefit and allow inclusion in future airway algorithms. We advocate for regular simulation training and the detailed reporting of clinical experience with this encouraging new tool.
摘要
Ventrain是一种小型、手动操作、一次性使用、吸气流量可调节的通气设备，在吸气时产生正压，并通过设备内的伯努利效应在呼气时产生主动吸力。它旨在通过细孔插管在气道阻塞时提供紧急通气。该设备已成功用于持续时间超过1小时的择期手术。在“无法插管、无法给氧”（CICO）情况下其理论优势是否能转化为可靠的临床益处并被纳入未来的气道处理方案，仍有待观察。我们提倡对这一令人鼓舞的新工具进行定期模拟训练并详细报告临床经验。
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