PHARM Podcast 25 – The Oxylator -supercharge your oxygenation strategy with Dr DuCanto

Jim DuCanto and I discuss the Oxylator series and delve into the novel features and advantages they offer for EMS folk  and prehospital doctors

Prehospital pointers:

1.Manual BVM has issues as we discuss. Gastric overinflation and hyperventilation with abnormal CO2 are two major problems. Scott Weingart recommends using the ventilator as your smart BVM. Could not agree more but its a major culture change for most of us to do this. Many of us prehospital folk do not have ventilators. But the Oxylator does the same job, is pressure and flow limited for safety and costs $2000 per device. Its small and light, very portable.

2. Gas driven so not reliant on batteries or electricity. Safer in hazardous, flammable gas filled environments where an electrical spark may kill everyone during the rescue. Problem is carrying enough pressurised gas. Jim talks of a work around solution of using an air compressor he bought from a local hardware store! Novel solution but not ready for prime time! More on role of gas compressors in a future episode!

Episode show notes:

Use of Oxylator by first responders and maintaining normocapnia

OXYGEN-POWERED FLOW-LIMITED RESUSCITATOR VERSUS MANUAL VENTILATION

Automated high frequence ventilation during experimental CPR – a new approach to resuscitation

Effectiveness of Ventilation Utilizing the Bag-Valve-Device (BVD) Versus the Oxylator® FR-300 in Intubated Patients During Air Medical Transport

The Effects of an Automatic Low Pressure Ventilation Device versus Manual Ventilation during Cardiopulmonary Resuscitation in a Porcine Model of Cardiac Arrest

Stay safe and enjoy the podcast!

Minh

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5 Comments
  1. Hey Jim & Minh,

    Nice demonstration. The vent rate seems quite fast and varies only a bit with the PIP setting. Any reports of adverse outcomes.

    Seems like a reasonable device where there is only one or two rescuers as it would potentially free up a pair of hands. Would be worried that this might take a rescuers eye off the airway and vent until the SpO2 alarm starts sounding.

    You say that the max flow rate reaches 30l/min (or 45L/min depending on which device you’re using) on max settings. What’s the average rate and how long have you managed to get out of the various cylinder sizes?

    Thanks

    Matthew

    • just did some benchmark and field testing of this last week
      take note . the oxylator is not available in Australia.
      Nearest distributor is Singapore.

      For prehospital work this is a handy device. My testing, I got it nicely ventilating the test lung on 6L/min flow set at PIP 30cm H2o at a rep rate of 6/min. I was able to increase the resp rate by increasing the flow rate.
      At that rate and flow, our kevlar CD cylinders hold 680 L and so two of them would last around 3.5 hrs.

      I tested this along with the SureVent2 portable ventilator which had trouble ventilating the test lung at a flow rate of 6L/min..you need higher flow rates for that partic vent.

      The Oxylator I showed to junior and senior rural doctors during a farming accident simulation training day. They all commented on how easy and simple it was to use. Robust device and it even kept working during tropical rain showers.. Its quite safe as it is pressure limited and there is an obvious valve release audible signal when pressure is excessive

  2. Pingback: Oxylator • LITFL

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