• A&A practice · Jul 2023

    The Tritube: Facilitating Upper Airway Surgery With an Ultrathin Cuffed Airway Device.

    • Stuart Morrison, Claire Van Oostende, Sophie Aerts, and Vera Saldien.
    • From the Department of Anesthesiology, Antwerp University Hospital, Edegem, Belgium.
    • A A Pract. 2023 Jul 1; 17 (7): e01697e01697.

    AbstractThe Tritube is a narrow-bore cuffed tracheal tube (outer diameter 4.4 mm and inner diameter ~2.4 mm) that permits effective alveolar gas exchange using flow-controlled ventilation. Constant gas flow delivers physiological minute volumes, within preset pressure limits, and applies suction to the airway during expiration. The technique has attracted interest for laryngotracheal microsurgery as it provides superior surgical exposure and avoids many of the complications associated with high-frequency jet ventilation. Cuff inflation protects the lower airway and produces a motionless operating field. We describe the structure of the device, discuss its benefits, and suggest how it should be used clinically.Copyright © 2023 International Anesthesia Research Society.

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