Podcast 127 – The Oxylator with Jim DuCanto - a podcast by Scott D. Weingart, MD FCCM

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Today on the show, I talk with my friend Jim DuCanto, MD about the oxylator. Jim is an anesthesiologist extraordinaire with a constant drive to perfect new airway techniques and document them on video along the way.

What is the Oxylator?

A mainly plastic device about the size of your fist with a incredibly quick magnetic valve



It runs on pressurized wall or tank oxygen



Only two main controls, a pressure setting knob and a manual inhalation/automatic mode button



Manual Resuscitator Mode



Press the button and the device will give 30 lpm of inhalation until you let go or it hits the pressure limit you set



Automatic Ventilator Mode



Press in the button and give it a turn and the device switches to automatic ventilation mode. Think of it as a flow-controlled, pressure cycled ventilator in your hand



It gives 30 lpm fixed flow (slow, safe flow) until it hits the user-selectable pressure limit, it then cycles to passive exhalation until it reaches 2-4 cm H20 PEEP and then it begins a new breath



On a patient who is not spontaneously breathing, you can titrate that pressure setting to an inhalation time of 1 seconds; this will deliver 500 mls per breath



At those settings, the minute volume will be 10-12 liters/minute



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Feedback



The device indicates when you are obstructing by clicking and tells you when there is a mask seal leak by not cycling to the next breath

It Solves the 5 Problems of the BVM



* We give too many breaths

* Those breaths are at too high a pressure

* The breaths are given too rapidly

* We get no feedback on whether the breath went in or it was given against an obstructed airway

* In a spontaneously breathing patient, the BVM will give variable FiO2s depending on the exhalation port



How we use it

We both use an inline hepa filter, ETCO2 port, and sometimes extension tubing. If you want to use it on a spontaneously breathing patient, OR mask straps are a great addition.

Two models

EMX (25-45 cm H20) and HD (15-30). There are also specialty models for chemical/explosive situations.

Here is Jim's Overview on the Device

https://vimeo.com/99412812

And here are the Slides from a lecture Jim gave at SAM



Here is an example of the use of the Oxylator for an OR Induction





 

Nasal CPAP in Unconscious Patient is More Effective than Full-Face Masks

Crit Care. 2013 Dec 23;17(6):R300.

Oxylator Product Page

This is the EMX Model

Disclaimer and COI

Neither Jim nor I take any money, kickbacks, or incentives from the manufacturer. Both Jim and I have been provided with Oxylators to test and research.

Now on to the Podcast...

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Further podcasts by Scott D. Weingart, MD FCCM

Website of Scott D. Weingart, MD FCCM