Related Concept Videos
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Cardiopulmonary Resuscitation II: ACLS Airway Management
Mechanical Ventilation II: Invasive Ventilation
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Endotracheal Intubation I: Procedure
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...
Endotracheal Intubation II: Nursing Management
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
Mechanical Ventilation III: Noninvasive Ventilation
Noninvasive Positive-Pressure Ventilation (NIPPV)
You might also read
Related Articles
Articles linked to this work by shared authors, journal, and citation graph.
[Recommendations of the new S1 guidelines on airway management].
Comparing Four Video Laryngoscopes and One Optical Laryngoscope with a Standard Macintosh Blade in a Simulated Trapped Car Accident Victim.
Prospective Trial to Compare Direct and Indirect Laryngoscopy Using C-MAC PM® with Macintosh Blade and D-Blade® in a Simulated Difficult Airway.
Evaluation of the C-MAC Miller Video Laryngoscope Sizes 0 and 1 During Tracheal Intubation of Infants Less Than 10 kg.
Laryngeal tube suction for airway management during in-hospital emergencies.
A radiographic comparison of human airway anatomy and airway manikins--Implications for manikin-based testing of artificial airways.
[Infection Prevention in the Intensive Care Unit: Evidence-Based Strategies for Reducing Healthcare-Associated Infections].
[Persistent Postoperative Opioid Use].
[Dexamethasone for Perioperative Analgesia].
[Treatment Expectations in the Perioperative Setting - Influence on Postoperative Pain Treatment].
[Correction: Anaesthesiological Concepts in Paediatric Neurosurgery].
Related Experiment Video
Updated: May 29, 2026

Endotracheal Intubation Using a Flexible Intubation Endoscope as a Standardized Model for Safe Airway Management in Swine
Published on: August 25, 2022
[Invasive airway management update 2011].
Managing airways invasively remains difficult. While the Blue Dolphin Kit is safe for percutaneous tracheostomy, it offers no clear benefits over existing methods. Early tracheostomy in ventilated patients lacks supporting evidence.
Area of Science:
- Anesthesiology and Critical Care Medicine
- Surgical Procedures
- Respiratory Support
Context:
- Invasive airway management, including percutaneous tracheostomy, presents challenges for medical professionals.
- Current percutaneous tracheostomy methods rely on Seldinger's principle.
- The Blue Dolphin Kit offers a feasible and safe option but lacks demonstrated superiority.
Purpose:
- To evaluate the safety and efficacy of the Blue Dolphin Kit for percutaneous tracheostomy.
- To review the evidence for early tracheostomy in mechanically ventilated intensive care patients.
- To explore novel methods for airway management, such as Bernoulli-principle-based jet ventilation.
Summary:
- The Blue Dolphin Kit is a safe and feasible option for percutaneous tracheostomy, though it does not offer significant advantages over existing techniques.
- Current evidence does not support routine early tracheostomy (less than 8 days) for intensive care patients on mechanical ventilation.
- Experimental findings suggest that supporting expiration via a small catheter using Bernoulli's principle may reduce barotrauma during emergency transtracheal high-frequency jet ventilation.
Impact:
- Provides clarity on the current utility of the Blue Dolphin Kit in percutaneous tracheostomy.
- Highlights the lack of evidence for early tracheostomy, guiding clinical decision-making.
- Suggests a promising experimental approach for safer emergency airway management, potentially reducing ventilator-associated complications.

