This looks similar to the needle cricothyroidotomy procedure that some paramedic trusts allow. We use a 14g cannula, oxygen tubing and a 3 way tap. Although I think we can only oxygenate our patient a tiny bit as a last ditch attempt... It doesn't really allow any ventilation to occur as the cannula is so small
I'm not familiar with ventilation devices though if Im understanding correctly the purpose of the Ventrain device is that it allows manual control over Inspiration/Expiration if the patient is not able to do so themselves? If neither of the holes are pressed, this allows the patient to breath on their own if they regain ability to breath, as opposed to current standards which just pump air into the lungs.
Chest might not rise if there's not an upper airway obstruction, the upper airway is presumably open in this cadaver? The catheter is not occluding/sealing the airway like a typical endotracheal tube would.
Hey mister Larry it’s torey here. You’re a great teacher for the emergency department. Can your patients feel the ring cutter getting hot on their fingers once you start cutting the ring off their fingers?
Yes, single use device. FDA approved but manufactured in Europe. Contact Vendor: Meredith Richard, Chief Operating Officer, Height Medical, LLCmrichard@heightmedical.com
That is a major problem with the uncontrolled TTJV setups. While it may still be so, I am pretty confident that this system is different because it is more controlled airflow and ventilation.
Unfortunately, the traditional ways of doing things in transtracheal Jet Ventilation are flawed with many associated complications. Your hospital can afford this device and your patients will benefit from it if you ever have to do this rare procedure.
@@lmellick thanks doc. I’m a new anesthesia provider and never seen this performed but what you said makes sense. Maybe I’ll bring it up to the higher ups
Here’s a good idea: if the thumbnail looks suspicious and you don’t understand the words in the title, google the definition before you click the video. If you think the video is about a tragic event, google the event, avoid google images. I know this stuff is sad but in the context of educational purposes, this cadaver, this deceased human being, has educated hundreds and saved more lives offscreen than any of us could imagine.
Lady I don't think these videos are relevant to you at all if you need a trigger warning. These videos are for those of us that wish to continue education in the practice of medicine. Leave, you shouldn't be here.
Let's all take a moment to thank those that donated their bodies to science. Without them training and research would be nearly impossible.
Ty for that, my father in law did that..
Yes, very important! I made sure my driver’s license says I’m a donor
Most of the bodies are probably of poor people and families who couldn’t afford insurance or funerals 😢
Nurse here, thanks Dr for uploading this invaluable learning material.
You are welcome!
Retired nurse here. I still enjoy learning!! Miss working and learning hands on so much!!
1:14 the vent train device is so amazing! medical equipment keeps getting better and better that device is so cool! And simple for quick livesaving!😱
Glad to watch another impressive educational video of you, Dr. Mellick.
Thank you very much to share this with us….! God Bless you Doctor…🙏🏼♥️👋🏼🇨🇦
Awesome stuff. Could this benefit paramedics in the field?
ONE HUNDRED PERCENT!!
This looks similar to the needle cricothyroidotomy procedure that some paramedic trusts allow. We use a 14g cannula, oxygen tubing and a 3 way tap. Although I think we can only oxygenate our patient a tiny bit as a last ditch attempt... It doesn't really allow any ventilation to occur as the cannula is so small
It does, not sure your state or scope of practice but these videos have helped me w my patients for sure :)
I'm on this video because an ambulance I just got hired for has them. I've never seen one before but they're definitely in use on the ambulance
I'm not familiar with ventilation devices though if Im understanding correctly the purpose of the Ventrain device is that it allows manual control over Inspiration/Expiration if the patient is not able to do so themselves? If neither of the holes are pressed, this allows the patient to breath on their own if they regain ability to breath, as opposed to current standards which just pump air into the lungs.
Correct! Equilibration occurs if both fingers are lifted. This allows adjustments in the event you are stacking breaths accidentally.
Informative video... Thank you Doctor♥
Thank you! Glad it was helpful.
Chest might not rise if there's not an upper airway obstruction, the upper airway is presumably open in this cadaver? The catheter is not occluding/sealing the airway like a typical endotracheal tube would.
Hey mister Larry it’s torey here. You’re a great teacher for the emergency department. Can your patients feel the ring cutter getting hot on their fingers once you start cutting the ring off their fingers?
Great video! Who's the manufacturer? Interested in unit cost... I'm assuming it's a single use device?
Yes, single use device. FDA approved but manufactured in Europe.
Contact Vendor: Meredith Richard, Chief Operating Officer, Height Medical, LLCmrichard@heightmedical.com
I work in a NICU and we use jet ventilation all the time! Not transtracheal, just through a regular ETT.
Great unit. Although looks abit big and heavy, with the motor, to carry in a medic pack.
Not heavy or big at all!
No motor either
Is that a cadaver?
Yes, will have been donated for medical training purposes
You'd have to be very practiced at using that Vertrain to get it right
barotrauma of the lung ?
That is a major problem with the uncontrolled TTJV setups. While it may still be so, I am pretty confident that this system is different because it is more controlled airflow and ventilation.
Tell them to shush please! I’m assuming that racket isn’t coming from the cadavers 😱🤣
Its a modified BVMmask
never seen this device
Is that a dead body
Yes
Cadaver
Knowing you're surrounded by a bunch of dead bodies has got to be unnerving as heck.
Yes, I am always forced to face my own mortality when I work in the cadaver lab.
You get used to it. Been in a cadaver lab, was fine, death is a natural part of life. It is sad however.
I think it’s interesting and makes death easier as time goes by
People have been dying as long as they’ve been living. None of us will make it out of this crazy merry go round alive!
Não mostra nada....
Just watch out for people who have a vocal fold implant due to Vocal cord paralysis . 🤪
На покойнике что ли показывают?
Yes
Poor guy 😁😁
Sick!
Nice device but not benefit to those that work at 99 percent of hospitals out there. Show us traditional ways of doing things like this too.
Unfortunately, the traditional ways of doing things in transtracheal Jet Ventilation are flawed with many associated complications. Your hospital can afford this device and your patients will benefit from it if you ever have to do this rare procedure.
@@lmellick thanks doc. I’m a new anesthesia provider and never seen this performed but what you said makes sense. Maybe I’ll bring it up to the higher ups
Traducir
Ma CV
You should make a TRIGGER WARNING buddy!
cadaver was in the title of the video🤷🏼♀️
don't be a soy. its medicine
Here’s a good idea: if the thumbnail looks suspicious and you don’t understand the words in the title, google the definition before you click the video. If you think the video is about a tragic event, google the event, avoid google images. I know this stuff is sad but in the context of educational purposes, this cadaver, this deceased human being, has educated hundreds and saved more lives offscreen than any of us could imagine.
Lady I don't think these videos are relevant to you at all if you need a trigger warning. These videos are for those of us that wish to continue education in the practice of medicine. Leave, you shouldn't be here.
Fun fact- research has found that trigger warnings actually enhance and even _create_ distress, BUDDY.