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The Ventrain Device: A Future Role in Difficult Airway Algorithms?

Morrison, Stuart MBChB, FFARCSI; Aerts, Sophie MD; Saldien, Vera MD

doi: 10.1213/XAA.0000000000001084

The Ventrain is a small, manually operated, single-use, inspiratory flow-adjustable ventilation device that generates positive pressure during inspiration and, through a Bernoulli effect within the device, active suction during expiration. It was designed to provide emergency ventilation during airway obstruction via narrow-bore cannulae. The device has been used successfully in elective procedures lasting >1 hour. It remains to be seen if its theoretical advantages in “can’t intubate, can’t oxygenate” (CICO) scenarios translate to reliable clinical benefit and allow inclusion in future airway algorithms. We advocate for regular simulation training and the detailed reporting of clinical experience with this encouraging new tool.

From the Department of Anesthesiology, Antwerp University Hospital, Edegem, Belgium.

Accepted for publication July 30, 2019.

Funding: None.

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations are provided in the HTML and PDF versions of this article on the journal’s website.

Address correspondence to Stuart Morrison, MBChB, FFARCSI, Department of Anesthesiology, Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, Belgium. Address e-mail to

Copyright © 2019 International Anesthesia Research Society
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