Publications by authors named "Patrice Gosselin"
Translaryngeal Tracheostomy Needle Introducer: a simple device to improve safety and reduce complications during Fantoni's translaryngeal tracheostomy procedure: trial on human cadavers.
Alessandro Terrani Enrico Bassi Caterina Valcarenghi Emmanuel Charbonney Paul Ouellet Patrice Gosselin
Intensive Care Med Exp
January 2019
Background: Percutaneous dilatational tracheostomy (PDT) is the most frequently performed procedure in patients requiring prolonged mechanical ventilation. A crucial step in such procedures is needle insertion into the trachea. To simplify this procedure and increase its safety, we developed a new device, the translaryngeal Tracheostomy Needle Introducer (tTNI), for use with Fantoni's method.
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- The study examines the effects of chest compressions (CC) on ventilation and intrathoracic pressure (ITP) in Thiel-embalmed cadavers, comparing them to cardiac arrest patients and theoretical models.
- It involved measuring respiratory mechanics, ITP variations, and airway pressure changes during CC, using equipment like an esophageal catheter in 11 cadavers and clinical data from 9 patients.
- Results showed that the respiratory system's compliance and resistance in the cadavers were similar to the patients, and ITP changes during CC were influenced by PEEP, indicating potential airway closure issues at low lung volumes.