The Tritube: Facilitating Upper Airway Surgery With an Ultrathin Cuffed Airway Device.

IF 0.5

A&A Practice Pub Date : 2023-07-01 DOI:10.1213/XAA.0000000000001697

Stuart Morrison, Claire Van Oostende, Sophie Aerts, Vera Saldien

引用次数: 0

Abstract

The Tritube is a narrow-bore cuffed tracheal tube (outer diameter 4.4 mm and inner diameter ~2.4 mm) that permits effective alveolar gas exchange using flow-controlled ventilation. Constant gas flow delivers physiological minute volumes, within preset pressure limits, and applies suction to the airway during expiration. The technique has attracted interest for laryngotracheal microsurgery as it provides superior surgical exposure and avoids many of the complications associated with high-frequency jet ventilation. Cuff inflation protects the lower airway and produces a motionless operating field. We describe the structure of the device, discuss its benefits, and suggest how it should be used clinically.

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Tritube:用超薄袖口气道装置促进上呼吸道手术。

Tritube是一种窄孔折口气管管(外径4.4毫米，内径约2.4毫米)，允许使用流量控制通风进行有效的肺泡气体交换。恒定的气体流量提供生理分钟体积，在预设的压力限制内，并在呼气时对气道施加吸力。该技术引起了喉气管显微外科的兴趣，因为它提供了优越的手术暴露，避免了许多与高频喷射通气相关的并发症。袖带充气保护下气道并产生一个静止的操作野。我们描述了该装置的结构，讨论了它的好处，并建议如何在临床上使用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.