Abstract
Purpose
To describe the clinical experience with a new device, designed to maintain airway access following tracheal extubation.
Features
The endotracheal ventilation catheter (ETVC) is a semi-rigid polyurethane catheter with a distal hole and side-holes. A proximal connector permits attachment to a high pressure gas source for jet ventilation. Such a device can be introduced through an existing endotracheal tube, prior to its removal, and then used as stylet to facilitate reintubation. In 202 consecutive patients, the main use was to maintain airway access for up to 72 hr. It was well tolerated and associated with a high probability of successful reintubation even when the glottis cannot be visualised.
Conclusion
The ETVC is a safe and effective means of maintaining airway access after tracheal extubation, even when the glottis cannot be visualized.
Résumé
Objectif
Décrire l’expérience acquise avec une nouveau dispositif destiné à maintenir un accès aux voies aériennes après l’extubation de la trachée.
Caractéristiques
Le cathéter endotrachéal de ventilation (CETV) est constitué d’un cathéter semi-rigide de polyuréthane avec une ouverture distale et deux ouvertures latérales. Un raccord proximal permet de le brancher sur une source de gaz à haute pression pour la ventilation par jet. Ce dispossitif peut être introduit au travers d’un tube endotrachéal déjà inséré, avant son retrait, et être l’utilisé par la suite comme un mandrin pour faciliter la réintubation. Chez 202 patients, on l’a surtout utilisé pour maintenir un accès aux voies aériennes pendant 72 heures ou moins. Le cathéter a été bien toléré et a permis un pourcentage élevé de réintubation quand la glotte ne pouvait être visualisée.
Conclusion
Le CETV est efficace et permet de maintenir l’accès aux voies aériennes en toute sécurité après l’extubation, même lorsque la glotte ne peut être visualisée.
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Cooper, R.M. The use of an endotracheal ventilation catheter in the management of difficult extubations. Can J Anaesth 43, 90–93 (1996). https://doi.org/10.1007/BF03015965
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DOI: https://doi.org/10.1007/BF03015965