Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned under...
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Core concepts in statistics and research methods. Part 6: Sample size calculations.

BJA education·2026
Same author

Deception in simulation-based education: a randomised controlled trial of the effect of deliberate deception on the performance of anaesthesia trainees.

Anaesthesia·2022
Same author

Essential notes: the anaesthetic management of an inhaled foreign body in a child.

BJA education·2021
Same author

Gender, power and leadership: the effect of a superior's gender on respiratory therapists' ability to challenge leadership during a life-threatening emergency.

British journal of anaesthesia·2017
Same author

Evaluation of the accuracy of common weight estimation formulae in a Zambian paediatric surgical population.

Anaesthesia·2016
Same author

An evaluation of inpatient morbidity and critical care provision in Zambia.

Anaesthesia·2016

Related Experiment Video

Updated: Jul 5, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

Techniques for emergency ventilation through a needle cricothyroidotomy.

M D Bould1, P Bearfield

  • 1St Michael's Hospital, University of Toronto, 30 Bond Street, Toronto, Ontario, Canada, M5B 1W8. dylan.bould@utoronto.ca

Anaesthesia
|April 17, 2008
PubMed
Summary
This summary is machine-generated.

Emergency needle cricothyroidotomy ventilation using a simple construction showed similar low-pressure performance to a Manujet. However, higher pressures required exceeding flowmeter calibration, indicating limitations for critical care scenarios.

More Related Videos

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
04:43

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Published on: March 15, 2024

A Rat Model of Ventricular Fibrillation and Resuscitation by Conventional Closed-chest Technique
09:47

A Rat Model of Ventricular Fibrillation and Resuscitation by Conventional Closed-chest Technique

Published on: April 26, 2015

Related Experiment Videos

Last Updated: Jul 5, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
04:43

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Published on: March 15, 2024

A Rat Model of Ventricular Fibrillation and Resuscitation by Conventional Closed-chest Technique
09:47

A Rat Model of Ventricular Fibrillation and Resuscitation by Conventional Closed-chest Technique

Published on: April 26, 2015

Area of Science:

  • Emergency Medicine
  • Respiratory Care
  • Medical Device Engineering

Background:

  • Needle cricothyroidotomy is a life-saving emergency airway procedure.
  • Effective ventilation during emergencies relies on specialized equipment like jet ventilators.
  • Assessing improvised ventilation systems is crucial when standard equipment is unavailable.

Purpose of the Study:

  • To evaluate the pressures and flow rates generated by a DIY ventilation setup for needle cricothyroidotomy.
  • To compare the performance of this improvised system against a commercial jet ventilator (Manujet) and a Sanders injector.
  • To determine the suitability of the construction for emergency ventilation applications.

Main Methods:

  • A custom ventilation system was assembled using a standard hospital oxygen supply, flowmeter, tubing, and a three-way tap.
  • Pressures and flow rates were measured through a transtracheal catheter.
  • Performance was benchmarked against a Manujet jet ventilator and a Sanders injector across various pressure settings.

Main Results:

  • The improvised system matched Manujet performance at low pressures (0-100 kPa).
  • Achieving higher pressures (>100 kPa) necessitated exceeding the flowmeter's calibrated range, resulting in significantly increased flow (44.5 vs 15.8 L/min) and pressure (285.3 vs 66.4 kPa).
  • The system demonstrated lower robustness and calibration compared to the Manujet across its operational range.

Conclusions:

  • While the improvised needle cricothyroidotomy ventilation system shows promise for emergency use in resource-limited settings, it lacks the calibration and robustness of dedicated jet ventilators.
  • Its performance is adequate at lower pressures but requires exceeding flowmeter limits for higher outputs, posing potential risks.
  • The system is deemed appropriate as a temporary measure when purpose-made jet ventilators are unavailable.