Can the Ventrain Make Surgical Cricothyrotomy a Thing of the Past?

The VENTRAIN transtracheal Needle Jet Ventilation device could make surgical cricothyrotomy a thing of the past. Watch this video remake and let me know your thoughts!

I have no financial relationship with the creators of this device.

[Dookieuk]

That's a really neat bit of equipment, very useful.

[JoelWelter]

Ideally, it would be great if they could automate the pressures for inhalation and exhalation, so that you meet desired pressures. I would worry about under inflation caused by being a.little slow on putting the thumb back over the control orifice.
On another note, it's the prime jazz concert season and we've not seen any bit of some horn action from you. Slowing down or maybe switching to a percussion instrument? Haha!

[theparaminuteman]

Paramedics would never get access to this, we will likely be stuck with surgical for the indefinite future

[euchreairgaming]

What's your opinion on the application of this in the pre-hospital/combat setting. I'm a Navy Corpsman and we learn surgical crics but are told how the rate of failure in the field is 33%. I wonder if this is compatable with a BVM so it can be used without a portable vent or O2 if needed. It seems much simpler and easier to use in high stress and low light situations. It also looks like it can be done faster than a surgical cric and requires less gear, allowing to fit more airways in a medbag.

Seems like a no-brainer, but please enlighten me to some of the cons. Is there still significant risk of esophageal perforation? How easily can the 14G be obstructed with blood or sputum? Can I use a manual suction if a powered one is not on hand? Be happy to hear your take on it Dr.

[faisalalmutairii]

love this channel. i have been reading about medicine during the last year of college now almost 10 years already. if i go back in time i would enter emergency medicine but now at 37 it is quite difficult to start medical school given my personal situation although no impossible. all the best dr larry. faisal from kuwait.

[jamesbridges]

I wouldn't say it completely eliminates surgical crics, but refractory obstructions are likely more common than the kind of trauma that would require one.

[bs]

Have you had any experience using this on a patient? If so what was your real-world experience like? Also do you think this is more useful for peds than for adults?

[jdog]

What is the O2 flow rate? It seems like a lot of o2 is used for this, making it less practical than a regular cric that doesn’t require high pressure o2 pressure hospitally also, have studies been conducted looking at co2 retention profiles for this device? Regular TTJV is not used for long times because of co2 issues.

[Victoriaghh]

One day I hope to be donated just for medical use. This is an incredible tool.

[colinnash]

As a pre-hospital provider, what are your thoughts on this in the pre-hospital setting:

Use the traditional 14g IV catheter with a three way stopcock attached at the catheter hub. Place the tube in a 20cc syringe directly inline with the IV catheter. In addition on the lateral side of the stopcock place a 60cc syringe. Could that be used create a "push-pull" method by using artificial inspiration with the BVM and artificial exhalation by pulling back on the 60cc syringe? Just thinking about using the toolbox I have to avoid a "one way trip" for the O2 as we currently would do with a needle cric in a pediatric.