Modified Bain Circuit Used To Transport Critically Ill Patients:
Transport of critically ill patients is an established practice in today's field of emergency medicine. Many potential problems may be avoided by optimization of the patient's condition before transport. Despite all efforts taken to minimize any complication arising during transport, we still have a long way to go and a Herculean task ahead of us. New innovations and ideas happen all the time. Some are planned and others not. Necessity plays a key role in the birth of new inventions that are very rewarding at the time of need. We report the successful use of modified bain circuit for transport of such critically ill patients. Ambu bag is generally used for transport of such patients but there is risk of hypoxemia because Ambu bag can not provide 100% oxygen if needed.
We removed the 22mm Plugin Mount Connector from modified bain circuit that is usually attached Boyle's apparatus. Then we replaced the green colour fresh gas tube, with the special BUBBLE OXYGEN TUBE (tapered oxygen tube) so that the oxygen tube can be easily interfaced with any type of flow meter attached to oxygen cylinder, without need for additional connectors. During transport, patients were ventilated in spontaneous/assisted/controlled mode by adjusting the Heidbrink Valve of bain circuit and pressing the bag of bain circuit just like manual resuscitator. Ambu bag still must be available if by chance oxygen cylinder got emptied. As this system could provide nearly 100% oxygen during transport of these patients, it may decrease the complications of transport arising due to hypoxemia in these patients.
We have further made it MRI compatible by replacing metal parts that may interfere with magnetic field with plastic alternatives and this product is the standing testimony for our Innovative & Engineering excellence.
As the cost of this product is lot cheaper compared to Silicon Ambu Bags, this product has been adopted as a truly DISPOSABLE MANUAL RESUSCITATOR by many hospitals.
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