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Transtracheal Use of the CriCath Cannula in Combination With the Ventrain Device for Prevention of Hypoxic Arrest due to Severe Upper Airway Obstruction

A Case Report

Heuveling, Derrek A., MD, PhD*; Mahieu, Hans F., MD, PhD*†; Jongsma-van Netten, Hinke G., MD; Gerling, Volker, MD, FANZCA§

doi: 10.1213/XAA.0000000000000823
Case Reports

A patient recently treated with surgery and radiation for oropharyngeal cancer presented with impending hypoxic respiratory and cardiac arrest in a difficult airway scenario. A CriCath cannula in combination with the Ventrain device and its active expiratory ventilation technology enabled oxygenation and ventilation for 60 minutes until a surgical airway was established. This case report is the first to describe the intended use of Ventrain technology in an emergent “can’t ventilate–can’t intubate” scenario.

From the *Department of Otorhinolaryngology, Meander Medical Center, Amersfoort, the Netherlands

Ruysdael Clinics, Amsterdam, the Netherlands

Departments of Intensive Care

§Anesthesiology, Meander Medical Center, Amersfoort, the Netherlands.

Accepted for publication May 8, 2018.

Funding: None.

Conflicts of Interest: See Disclosures at the end of the article.

Address correspondence to Volker Gerling, MD, FANZCA, Department of Anesthesiology, Meander Medical Center, Maatweg 3, 3813 TZ Amersfoort, the Netherlands. Address e-mail to

© 2018 International Anesthesia Research Society
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