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Review
. 2024 Dec 10;16(12):e75477.
doi: 10.7759/cureus.75477. eCollection 2024 Dec.

Biphasic Cuirass Ventilation for Airway Surgeries: A Comprehensive Review

Abhay Bodhey  1 , Manjusha Bodhey  2 , Nabil A Shallik  3   4   5   6 , Mansour Al Nadhari  1 , Hany F Griess  1 , Osama Al Ani  1 , Shaji Sainuddin  1 , Kurian P Thomas  1 , Osama ElHanfi  1 , Suraj Jose  1 , Abhijit Nair  7
Affiliations
Review

Biphasic Cuirass Ventilation for Airway Surgeries: A Comprehensive Review

Abhay Bodhey et al. Cureus. .

Abstract

Airway surgeries pose great challenges for the anesthesiologists as the airway is shared by them and the surgeon. It is of paramount importance to have control of the airway during such surgeries. Many techniques have been employed to provide uninterrupted oxygenation to the patient with or without the presence of a definitive airway. Recently, biphasic cuirass ventilation (BCV) has been used effectively to provide tubeless airway management in patients undergoing airway surgeries. This article discusses the feasibility and viability of using BCV for various airway surgeries and also reviews the existing literature regarding its use in the perioperative period for such indications.

Keywords: airway access; airway surgeries; critical airway; ent anesthesia; ent surgery; negative pressure ventilation.

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Conflict of interest statement

Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Picture showing Hayek respirator used for BCV.
BCV: biphasic cuirass ventilation (Image reproduced with permission from United Hayek Industries)[17].
Figure 2
Figure 2. Airway surgery with BCV.
A: patient with BCV attached for surgery with HFNO for oxygen supplementation, B: patient undergoing airway surgery. BCV: biphasic cuirass ventilation; HFNO: high flow nasal oxygenation (Images are from the authors' own database).
Figure 3
Figure 3. Intraoperative images during airway surgeries.
A: Image showing operation theatre during airway surgery with BCV in use, B: Image showing BCV in use and intraoperative monitoring. (Images are from the authors' own database).
See this image and copyright information in PMC

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