Indian Journal of Anaesthesia  
About us | Editorial board | Search | Ahead of print | Current Issue | Past Issues | Instructions
Home | Login  | Users Online: 1358  Print this pageEmail this pageSmall font sizeDefault font sizeIncrease font size    




 
 Table of Contents    
COMMENTS ON PUBLISHED ARTICLE
Year : 2018  |  Volume : 62  |  Issue : 2  |  Page : 152  

Jet insufflation options for the cannot intubate–cannot ventilate situation


Department of Anesthesia, University of Manitoba, Winnipeg, Manitoba, Canada

Date of Web Publication12-Feb-2018

Correspondence Address:
Dr. Hilary P Grocott
Department of Anesthesia, University of Manitoba, CR3008 - 369 Tache Avenue, Winnipeg, R2H 2A6, Manitoba
Canada
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ija.IJA_724_17

Rights and Permissions

How to cite this article:
Grocott HP. Jet insufflation options for the cannot intubate–cannot ventilate situation. Indian J Anaesth 2018;62:152

How to cite this URL:
Grocott HP. Jet insufflation options for the cannot intubate–cannot ventilate situation. Indian J Anaesth [serial online] 2018 [cited 2020 Jul 5];62:152. Available from: http://www.ijaweb.org/text.asp?2018/62/2/152/225226



Sir,

The recent letter by Kulkarni et al.[1] outlining the jet insufflation jugaad that was derived from a Jackson-Rees circuit, a 4 mm ID endotracheal tube connector, and Luer-lock venous extension tubing, offers a potentially viable alternative to commercially available jet ventilation devices such as the Enk Oxygen Flow Modulator (Cook Inc., Bloomington, IN, USA), the Rapid O2™ Insufflator (Meditech Systems Ltd, Shaftesbury, UK) and the Manujet III™ (VBM, Medizintechnik GmBH, Sula and Neckar, Germany) for use in cannot intubate–cannot ventilate situations in paediatric patients. Indeed, the authors' improvised insufflator solution that offers both jet inspiration and active expiration exploits the Hagen–Poiseuille law in a very similar fashion to another relatively new commercially available device, the Ventrain ® (Ventinova Medical B. V., Eindhoven, Netherlands).[2] This device has similarly been shown to allow both inspiration and active expiration when used with both short and long small-bore airway cannulae.[3] The Ventrain device is a portable, easy to use, light weight, stand-alone high-pressure injector that uses up to 15 L/min in oxygen flow. Importantly, it has also withstood the evaluative rigor of medical equipment regulatory agencies making it potentially safer than the improvised device suggested by Kulkarni et al. That said, I congratulate these authors on their improvisation and ingenuity, as they appear to have independently validated and partially replicated the work that had been accomplished with the Ventrain.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Kulkarni KS, Dave NM, Karnik PP, Garasia M. Jet insufflator for cannot intubate cannot ventilate situation. An Indian Jugaad. Indian J Anaesth 2017;61:941-2.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Lang SA. Emergency airway management: What are the roles for surgical cricothyroidotomy and the Ventrain(®) device? Can J Anaesth 2016;63:997-8.  Back to cited text no. 2
[PUBMED]    
3.
de Wolf MW, Gottschall R, Preussler NP, Paxian M, Enk D. Emergency ventilation with the Ventrain ® through an airway exchange catheter in a porcine model of complete upper airway obstruction. Can J Anaesth 2017;64:37-44.  Back to cited text no. 3
[PUBMED]    




 

Top
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
    References

 Article Access Statistics
    Viewed1016    
    Printed5    
    Emailed0    
    PDF Downloaded213    
    Comments [Add]    

Recommend this journal