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Updated: Aug 19, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
[Practical device to reduce the tidal volume in mechanical ventilation, for neonatal and pediatric anesthesia]
G Damia1, A Elena, A Pelizzola
1Istituto di Anestesiologia e Rianimazione, Università degli Studi di Milano.
Abstract:
The authors propose a new device for controlled mechanical ventilation during general anaesthesia in pediatric and neonatal patients. This device can reduce TV delivered by an adult ventilator to small values. The device consists of: a small volume box (about 1.3 1); a disposable breathing circuit composed of a bag to put in the box, connecting tubes, a non rebreathing duckbill valve placed at the endotracheal tube; a monitoring system for pressure and expired volume. The authors tested the device according to ISO Standards. Performance during waveform tests and expiratory resistance agree with ISO request. During volume performance tests the device was able to deliver a minimum TV of 10 ml in all ISO Standard requested sets.
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